摘要
目的:探讨体外冲击波碎石术(Extracorporeal shock-wave lithotripsy,ESWL)联合中药治疗输尿管结石的疗效及安全性。方法:305例输尿管结石患者随机分成中药组(A组)、ESWL组(B组)和ESWL+中药组(C组),3组治疗前均常规应用西药,观察3组分别在第1、2、3、4疗程后的结石治愈率、有效率、排石时间、不良反应。结果:C组治愈率、有效率高于B组和A组,C组排石时间短于B组和A组,B组的不良反应高于C组和A组,3组结果差别有统计学意义(P<0.05)。结论:ESWL联合中药治疗输尿管结石可提高结石的疗效、减少ESWL后的并发症,总体安全有效,值得在临床中推广。
Objective： To investigate the therapeutic effect and safety of extracorporeal shock-wave lithotripsy （ESWL） combined with traditional Chinese medicine for patients with ureteral calculus. Methods： A total of 305 patients were randomly divided into three groups： group A （65 cases）treated with traditional Chinese medicine; group B （ 120 cases）treated with ESWL; and group C （ 120 cases） treated with ESWL plus traditional Chinese medicine. All three group were treated with western medicine before the research. Ten days as a course, the curative rate, the total of effective rate, discharge time of stone and the side effects of each group were analyzed constantly for 4 courses. Results： After treatment for 4 courses, the curative rate and the total of effective rate in group C were 90.8%and 98.3%, respectively, being obviously higher than those in group B （80.8%, 89.2%）and group A （12.3%,40%）, the discharge time of stone in group C was shorter than that of the group B and that of group A, and the side effects in group C and group A were lower than those in group B （P〈0.05）. Conclusion： ESWL combined with traditional Chinese medicine for patients with ureteral calculus can improve the efficacy, shorten the course of treatment and decrease the complications after ESWL. This method is generally safe and effective, worth wide application in clinic.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2009年第11期1591-1593,共3页
Journal of Chongqing Medical University
关键词
体外冲击波碎石术
输尿管结石
治愈率
中药
Extracorporeal shock-wave lithotripsy
Ureteral calculus
Curative rate
Traditional Chinese medicine
