微创手术联合中医综合疗法治疗复杂性上尿路结石疗效观察

发布时间：2019-03-19 14:53

【摘要】：目的探讨微创手术联合中医综合疗法治疗复杂性上尿路结石的临床疗效。方法选取复杂性上尿路结石患者240例,随机分为实验组、对照组,每组各120例。两组均采用手术治疗,根据结石部位及特点采用微创经皮肾镜碎石术(PCNL)或输尿管软镜钬激光手术。实验组手术前后加用中药、针刺、耳穴压丸的中医综合疗法。术后48~72 h复查X线片观察残余结石情况,计算一期清石率。术后4周复查X线片,计算总清石率。结果所有手术均获成功。实验组一期清石率为84.7%、术后4周总清石率为98.9%,对照组分别为78.1%、92.3%,实验组一期清石率及总清石率均高于对照组(P均0.05)。结论微创手术联合中医综合疗法治疗复杂性上尿路结石的结石清除率高,中医综合疗法能够促进术后上尿路结石的排出,有助于弥补微创手术残石率高的不足。
[Abstract]:Objective to investigate the clinical efficacy of minimally invasive surgery combined with traditional Chinese medicine (TCM) in the treatment of complicated upper urinary tract calculi. Methods 240 patients with complicated upper urinary tract calculi were randomly divided into experimental group (n = 120) and control group (n = 120). According to the location and characteristics of calculi, minimally invasive percutaneous nephrolithotripsy (PCNL) or ureteral soft lens holmium: YAG laser were used in both groups. Experimental group before and after the operation with traditional Chinese medicine, acupuncture, auricular point pressure pill of traditional Chinese medicine comprehensive therapy. The residual stones were observed by X-ray at 48 h and 72 h after operation, and the rate of primary stone clearance was calculated. X-ray examination was performed 4 weeks after operation to calculate the total stone clearance rate. Results all operations were successful. The rate of primary stone removal was 84.7% in the experimental group, 98.9% in the four weeks after operation, and 78.1% and 92.3% in the control group, respectively. The first stage stone clearing rate and the total stone clearing rate in the experimental group were higher than those in the control group (P 0.05). Conclusion the treatment of complicated upper urinary tract calculi with minimally invasive surgery combined with traditional Chinese medicine (TCM) has a high stone clearance rate. TCM combined therapy can promote the removal of upper urinary tract stones after operation and help to make up for the deficiency of high residual stone rate in minimally invasive surgery.
【作者单位】：莱芜市中医院;
【分类号】：R699

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