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目的探讨清胆饮结合体外冲击波碎石(ESWL)治疗胆囊结石的临床疗效。方法对332例清胆饮结合体外冲击波碎石治疗胆囊结石病例进行回顾性分析,并与同期行常规体外冲击波碎石治疗的295例进行分析比较。结果清胆饮碎石组患者的结石2周清除率(36．14％)、1个月清除率(58．58％)、3个月清除率(68．98％)、6个月清除率(86．75％)高于常规碎石组(14．92％、21．02％、35．93％、47．11％)(P<0．01);结石1年复发率(5．50％)和2年复发率(10．09％)低于常规碎石组(8．84％、17．00％)(P<0．05)。结论清胆饮结合体外冲击波碎石治疗胆囊结石碎石清除时间短,清除率高,复发率低。
Objective To investigate the clinical efficacy of Qingdan Decoction combined with extracorporeal shock wave lithotripsy (ESWL) in the treatment of gallstone. Methods A retrospective analysis was performed on 332 cases of cholecystolithiasis treated with Qingdan Decoction combined with extracorporeal shock wave lithotripsy and compared with 295 cases treated by conventional extracorporeal shock wave lithotripsy in the same period. Results The clearance rate of stone in the patients with clear gallstones was 36.14%, the clearance rate of 1 month (58.58%), the clearance rate of 3 months (68.98%), the clearance rate of 6 months (86.75%) was higher than that of conventional gravel group (14.92%, 21.02%, 35.93%, 47.11%) (P <0.01) %) And 2-year recurrence rate (10.09%) were lower than those in the conventional group (8.84%, 17.00%) (P <0.05). Conclusion Qingdan Decoction combined with extracorporeal shock wave lithotripsy in the treatment of gallstone gravel removal time is short, high clearance rate, low recurrence rate.