| 引用本文:黄清荣.体外震荡波碎石术后中西医结合治疗泌尿系结石882例临床分析[J].世界中医药,2010,5(1):. |
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| 体外震荡波碎石术后中西医结合治疗泌尿系结石882例临床分析 |
| Integrative Chinese and Western Medicine for 882 Urinary Calculus Cases After Shock Wave Lithotripsy |
| 投稿时间：2009-09-02 |
| DOI： |
| 中文关键词: 体外震荡波碎石〓泌尿系结石/疗法 |
| English Keywords:Shock wave lithotripsy Urinary calculus/medical therapy |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨体外震荡波碎石术后中西医结合治疗对泌尿系结石的疗效。方法：选取882例直径≥10mm泌尿系结石的患者进行分析。体外冲击波碎石术后，在应用常规西药基础上加用八正散化裁治疗。结果： 1）肾结石343例中直径<20mm者201例1次治愈，20～30mm者78例碎石2～3次治愈，3个月内治愈率93％，>30mm者64例碎石率100％，2个月内结石排空率为82.9％。 2）输尿管结石352例中，235例1次治愈，117例经2次或2次以上治疗，1个月内治愈率97.9％。 3）膀胱结石187例中，129例1次治愈，28例经2～3次碎石治疗，1个月内结石排空率100％，>30mm者20例中，碎石率98％，2个月内结石排空率为98％。结论：碎石术后采用中西医结合疗法可提高疗效，减少复发。 |
| English Summary: |
| To explore the efficacy of integrative Chinese and western medicine on the urinary calculus after the shock wave lithotripsy. Methods:Modified Bazheng San was administered in addition to basic western medicine on 882 patients who had their urinary calculus (d≥10mm) removed by shock wave before. Results: 1) renal calculus: 201, 78, 64 patients with respective calculus diameters of <20mm、20mm ~30mm、>30 mm were cured after 1 course, or 2-3 courses within 3 months(recovery rate=93%), or 2 months (calculus empting rate=82.9%) respectively. 2) ureteral calculus: 235 patients were cured with one course, 117 patients with two or more courses, (recovery rate within 1 month=97.9%). 3) bladder calculus: 129, 28, 20 patients(d>30 mm) were cured after 1 course, or 2-3 courses within 1 month (calculus empting rate=100%), or 2 months (lithotripsy rate=98%, empting rate=98%) respectively. Conclusion: Integrative Chinese and western medicine treatment can prevent relapse of urinary calculus after shock wave lithotripsy. |
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