| 摘要: |
| 目的探讨尿路净合剂联合物理振动排石在上尿路结石ESWL术后的临床疗效。方法选取行ESWL治疗的231例上尿路结石患者为研究对象，其中单纯尿路净合剂排石（中药组）115例、尿路净合剂联合物理振动排石（联合组）116例，比较两组患者术后排石率、结石排净率、术后不良情况、治疗有效率等。结果联合组术后排石率、结石排净率均明显优于中药组（均P＜0.01）。不同部位结石患者术后排净率比较，联合组肾下极、输尿管上段结石患者ESWL术后排净率分别优于中药组（均P＜0.05）；其余部位结石患者术后排净率比较，差异均无统计学意义（均P＞0.05）。两组患者在治疗期间均未发生严重并发症；ESWL术后出现的恶心、呕吐、肉眼血尿等常见不良反应，两组比较差异均无统计与意义（均P＞0.05）。联合组治疗有效率为98.3%，明显优于中药组的85.2%（P＜0.01）。结论上尿路结石患者ESWL术后应用尿路净合剂联合物理振动排石，可明显提高术后排石率、结石排净率，缩短排石周期，且无明显不良反应，是一种安全有效的排石方法。 |
| 关键词: 物理振动排石 中药 体外冲击波碎石术 上尿路结石 |
| DOI：10.12056/j.issn.1006-2785.2017.39.13.2016-2091 |
| 分类号: |
| 基金项目:国家中医重点专科外科学建设项目（ZJ1101WK023）；浙江省中医管理局项目（2015ZA108） |
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| Efficacy of TCM combined with external physical vibration lithecbole for upper urinary stones after extracorporeal shock wave lithotripsy |
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GU Jun, ZHANG Gaoyue, SHI Bing, WANG Wenzhi, HU Qing, LV Bodong
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the Second Clinical Medical College，Zhejiang Chinese Medical University
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| Abstract: |
| Objective To assess the efficacy of Chinese traditional medicine (TCM) combined with external physical vibration lithecbole (EPVL) for patients with upper urinary stones after extracorporeal shock wave lithotripsy (ESWL). Methods Two hundred thirty one patients with upper urinary stones, who were treated with ESWL between March 2015 and March 2016, were randomly divided into TCM group (n=115) and TCM+EPVL group (n=116). The general information, stone-free rate, stone expulsion rate, effective rate, incidence of adverse reactions were compared between two groups. Results There were no significant differences in age, gender, BMI, SSD, HU, disease duration, stone size, stone location between the two groups (P ＞ 0.05). The stone-free rate and stone expulsion rate in TCM+EPVL group were significantly better than those in TCM only group (P＜0.01). Further analysis showed that the stone-free rate of inferior kidney and upper ureter in TCM+EPVL group was higher than that in TCM only group (P＜0.05), while there was no significant difference in stone-free rate of other parts between two groups (P ＞0.05). The effective rate of TCM+EPVL group was also significantly higher than that of TCM group (98.3% vs 85.2%, P＜0.01). Conclusion TCM combined with EPVL is more safe and effective in treatment of patients with upper urinary stones after
ESWL. |
| Key words: External physical vibration lithecbole Traditional Chinese medicine Extracorporeal shock wave lithotripsy Upper urinary stones |
