超微经皮肾镜碎石术后联合中药排石治疗肾结石30例  

Treatment of 30 cases of kidney stones with combined traditional Chinese medicine stone expulsion after ultramicro-percutaneous nephrolithotripsy

作　　者：梁健峰 许北勋 许锦蜂 潘杰 陈举锋 吴远顺 敖达文 叶应林 阮永同 Liang Jianfeng;Xu Beixun;Xu Jinfeng;Pan Jie;Chen Jufeng;Wu Yuanshun;Ao Dawen;Ye Yinglin;Ruan Yongtong(Department of Urology,Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang 529500,China)

机构地区：[1]阳江市中医医院泌尿外科,阳江529500

出　　处：《国际医药卫生导报》2023年第13期1841-1844,共4页International Medicine and Health Guidance News

基　　金：广东省中医药局科研项目(20202248)。

摘　　要：目的观察超微经皮肾镜碎石术后联合中药排石治疗肾结石(结石<2 cm)的临床疗效。方法本研究为随机对照试验。选取2020年10月至2021年12月阳江市中医医院泌尿外科行超微经皮肾镜碎石术的肾结石患者60例为研究对象,按照随机编号方法分为两组,各30例。治疗组男12例、女18例,平均年龄37.43岁,在微创手术基础上结合中药排石治疗;对照组男15例、女15例,平均年龄46.20岁,临床未给予中药排石治疗。对比两组患者术后结石治愈率。采用χ^(2)检验。结果60例患者手术均顺利完成。治疗组结石治愈率为96.7%(29/30),高于对照组的83.3%(25/30),差异有统计学意义(P<0.05)。结论微创手术结合中药排石治疗肾结石微创、高效,且并发症较少,减少对患者机体的损伤。Objective To evaluate the effect of combined traditional Chinese medicine stone expulsion after ultramicro-percutaneous nephrolithotripsy in the treatment of kidney stones below 2 cm.Methods This study was a randomized controlled trial.From October 2020 to December 2021,60 patients with kidney stones who underwent ultramicro-percutaneous nephrolithotripsy in Department of Urology,Yangjiang Hospital of Traditional Chinese Medicine were enrolled.They were grouped according to the random numbering method,with 30 patients in each group.In the treatment group,12 males and 18 females,with an average age of 37.43 years old,were treated with minimally invasive surgery combined with traditional Chinese medicine stone expulsion.In the control group,15 males and 15 females,with an average age of 46.20 years old,were not given traditional Chinese medicine stone expulsion.The stone clearance rate and stone expulsion time after surgery were compared between the two groups.χ^(2) test was used.Results All 60 surgeries were successfully performed.Among them,the effective rate of the treatment group reached to 96.7%(29/30),which was higher than that of the control group[83.3%(25/30)],with a statistically significant difference(P<0.05).Conclusion In the treatment of kidney stones,the combination of minimally invasive surgery and traditional Chinese medicine stone expulsion is minimally invasive and efficient,and has few complications,which significantly reduces the damage to the body.

关 键 词：肾结石 超微经皮肾镜碎石术 中药 排石 

分 类 号：R699.2[医药卫生—泌尿科学]