浙江医学2017，Vol.39Issue(13)：1057-1060,4.DOI:10.12056/j.issn.1006-2785.2017.39.13.2016-2091
尿路净合剂联合物理振动排石在上尿路结石ESWL术后的应用效果
Efficacy of TCM combined with external physical vibration lithecbole for upper urinary stones after extracorporeal shock wave lithotripsy
摘要
Abstract
Objective To assess the efficacy of Chinese traditional medicine (TCM) combined with external physical vibration lithecbole (EPVL) for patients with upper urinary stones after extracorporeal shock wave lithotripsy (ESWL).Methods Two hundred thirty one patients with upper urinary stones,who were treated with ESWL between March 2015 and March 2016,were randomly divided into TCM group (n=115) and TCM+EPVL group (n=116).The general information,stone-free rate,stone expulsion rate,effective rate,incidence of adverse reactions were compared between two groups.Results There were no significant differences in age,gender,BMI,SSD,HU,disease duration,stone size,stone location between the two groups (P ＞ 0.05).The stone-free rate and stone expulsion rate in TCM+EPVL group were significantly better than those in TCM only group (P＜0.01).Further analysis showed that the stone-free rate of inferior kidney and upper ureter in TCM+EPVL group was higher than that in TCM only group (P＜0.05),while there was no significant difference in stone-free rate of other parts between two groups (P ＞0.05).The effective rate of TCM+EPVL group was also significantly higher than that of TCM group (98.3％ vs 85.2％,P＜0.01).Conclusion TCM combined with EPVL is more safe and effective in treatment of patients with upper urinary stones after ESWL.关键词
物理振动排石/中药/体外冲击波碎石术/上尿路结石Key words
External physical vibration lithecbole/Traditional Chinese medicine/Extracorporeal shock wave lithotripsy/Upper urinary stones引用本文复制引用
傅骏,张高岳,石兵,王文志,胡青,吕伯东..尿路净合剂联合物理振动排石在上尿路结石ESWL术后的应用效果[J].浙江医学,2017,39(13):1057-1060,4.基金项目
国家中医重点专科外科学建设项目(ZJ1101WK023) （ZJ1101WK023）
浙江省中医管理局项目(2015ZA108) （2015ZA108）
