摘要
目的探讨排石汤联合体外冲击波碎石治疗输尿管结石的疗效。方法随机收集2015年2月—2017年1月该院体外冲击波碎石治疗输尿管结石的100例患者,随机分为50例研究组和50例对照组,两组基础手术方法均相同,研究组术后加用排石汤治疗。分析对比两组术后2周结石排出情况;两组术后肾绞痛、发热及膀胱刺激征发生情况;两组术后血尿消失时间。结果研究组和对照组术后2周结石排出率分别为92%、68%,比较差异有统计学意义(χ2=5.31,P<0.05);研究组和对照组术后肾绞痛、发热及膀胱刺激征发生分别为(4%、2%、6%)vs(16%、18%、14%),比较差异有统计学意义(χ2=5.29、6.69、7.58,P<0.05);研究组和对照组术后血尿消失时间分别为(3.26±1.47)d、(5.98±1.93)d,比较差异有统计学意义(t=6.38,P<0.05)。结论排石汤联合体外冲击波碎石治疗输尿管结石的疗效肯定,对改善患者术后肾绞痛、发热及膀胱刺激征症状明显,术后结石排除率高。
Objective This paper tries to explore the efficacy of Paishi Decoction combined with extracorporeal shock wave lithotripsy in the treatment of ureteral calculi. Methods 100 patients with ureteral calculi treated with extracorporeal shock wave lithotripsy in the hospital from February 2015 to January 2017 were randomly divided into two groups： 50 cases in the study group and 50 cases in the control group. The basic surgical methods were the same in both groups. while the study group added Paishi soup for treatment. The stones were excreted in two weeks after operation. The occurrence of renal colic,fever, and bladder irritation after surgery, the time of hematuria disappeared after operation in both groups were analyzed.Results The stone excretion rates in the study group and control group were 92% and 68%, respectively, at 2 weeks after surgery（χ^2=5.31, P〈0.05）; postoperative renal colic, fever, and bladder irritation sign in the study and control groups. The incidences were（4%, 2%, 6%） vs（16%, 18%, and 14%）, respectively（χ^2=5.29, 6.69, 7.58, P〈0.05）; postoperative disappearance time of hematuria in the study group and control group were（3.26±1.47）d and（5.98±1.93）d, respectively, th edifference was statistically significant（t=6.38, P〈0.05）. Conclusion Paishi Decoction combined with extracorporeal shock wave lithotripsy for the treatment of ureteral calculi is effective, and it has obvious symptoms of improvement of postoperative renal colic, fever and bladder irritation, and the rate of postoperative stone removal is high.
作者
谭小红
刘元志
TAN Xiao-hong;LIU Yuan-zhi(Department of Surgery,Section One,Yuan＇an Hospital of Traditional Chinese Medicine,Yiehang,Hubei Province,444200 China)
出处
《中外医疗》
2018年第14期170-172,共3页
China & Foreign Medical Treatment
关键词
排石汤
体外冲击波碎石
输尿管结石
Paishi Decoction
Extraeorporeal shock wave lithotripsy
Ureteral calculi
