CAJ | 학술논문

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.
목적:탐토체외충격파쇄석술(Extracorporeal shock-wave lithotripsy,ESWL)연합중약치료수뇨관결석적료효급안전성.방법:305례수뇨관결석환자수궤분성중약조(A조)、ESWL조(B조)화ESWL+중약조(C조),3조치료전균상규응용서약,관찰3조분별재제1、2、3、4료정후적결석치유솔、유효솔、배석시간、불량반응.결과:C조치유솔、유효솔고우B조화A조,C조배석시간단우B조화A조,B조적불량반응고우C조화A조,3조결과차별유통계학의의(P＜0.05).결론:ESWL연합중약치료수뇨관결석가제고결석적료효、감소ESWL후적병발증,총체안전유효,치득재림상중추엄.
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.