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目的:评价输尿管结石体外冲击波碎石术后应用坦索罗辛辅助排石的临床效果。方法:随机将95例行体外冲击波碎石术的输尿管结石患者分为对照组和观察组,对照组47术后当日给予饮水2L/d,配合适当运动和抗感染药物治疗;观察组在对照组基础上饭后口服坦索罗辛缓释胶囊0.2mg/次,1次/d。动态对比术后结石排净率、结石排净时间和肾绞痛发生率。结果:观察组术后4周末结石排净率明显高于对照组,P<0.01;结石排净平均时间短于对照组,P<0.01;肾绞痛发生率低于对照组,P<0.05。结论:输尿管结石ESWL术后应用坦索罗辛辅助排石安全可靠,疗效确切,具有结石排净率高、结石排净平均时间短和肾绞痛发生率低等优点,值得临床继续研究和探讨。
Objective: To evaluate the clinical effect of tamsulosin-assisted drainage after extracorporeal shock wave lithotripsy of ureteral calculi. Methods: Ninety-five patients with ureteral calculi undergoing extracorporeal shock wave lithotripsy were randomly divided into control group and observation group. The control group was given 2 L / d of drinking water on the day after the operation, with appropriate exercise and anti-infective drug treatment. In the control group Based on oral tamsulosin sustained-release capsules 0.2mg / time, 1 time / d. Dynamic comparison of postoperative stone clearance rate, stone discharge time and incidence of renal colic. Results: The stone clearance rate in the observation group at 4 weeks after operation was significantly higher than that in the control group (P <0.01). The average time for discharging stones was shorter than that in the control group (P <0.01). The incidence of renal colic was lower than that in the control group (P <0.05). CONCLUSION: Tamsulosin-assisted drainage of ESWL after ureteral calculi is safe and reliable with definite curative effect. It has the advantages of high rate of stone removal, short average time of stone discharge and low incidence of renal colic, which is worth further study and discussion .