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尿石症是泌尿外科常见疾病,人群患病率约为1%～5%,而上尿路结石占尿石症的95%,其中输尿管结石占上尿路结石的65%。传统的治疗手段为保守疗法和手术疗法。保守疗法对较大的结石效果不满意,手术治疗创伤大,复发率高,病人不易接受。目前应用体外冲击波碎石是治疗泌尿系结石的重要手段之一,但部分结石碎石后容易残留,甚至形成石街,导致梗阻、积水、感染等并发症。为促进结石尽快排出,减少并发症发生,笔者采用体外冲击波碎石术配合中药治疗输尿管结石218例,疗效较好,并与单用体外冲击波碎石术治疗的140例作对照观察,现报告如下。
Urolithiasis is a common urological disease, the prevalence of the population is about 1% to 5%, while upper urinary tract stones account for 95% of urolithiasis, of which ureteral stones account for 65% of urinary tract stones. The traditional treatment for conservative treatment and surgical treatment. Conservative therapy is not satisfied with the larger stones, surgical trauma, high recurrence rate, the patient is not easy to accept. At present, the use of extracorporeal shock wave lithotripsy is one of the important means for the treatment of urinary stones, but some residual stones easily after the stone, and even the formation of Stone Street, leading to obstruction, water, infection and other complications. In order to promote the discharge of stones as soon as possible and reduce the occurrence of complications, I used extracorporeal shock wave lithotripsy combined with traditional Chinese medicine treatment of 218 cases of ureteral calculi, good effect, and single extracorporeal shock wave lithotripsy of 140 cases for controlled observation, are as follows .