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目的:观察肾石通颗粒配合输尿管硬镜钬激光碎石加ESWL治疗肾盂结石的疗效。方法:选自2012年4月—2015年4月我院收治的64例肾盂结石患者(结石直径>1.5 cm而≤2.5 cm),将这64例患者随机分为两组,每组32例.观察组患者给予肾石通颗粒配合输尿管硬镜钬激光碎石加ESWL进行治疗,对照组患者给予输尿管硬镜钬激光碎石加ESWL进行治疗。结果:44例一期用硬镜碎石成功,一次性碎石率为68.75%;20例术后给予体外震波碎石治疗治疗后成功,无输尿管穿孔、脓肾等严重并发症发生。术后留置输尿管支架4~6周。术后3个月拍片复查,观察组结石排净比例81.25%,对照组71.88%。结论:输尿管硬镜钬激光碎石联合ESWL治疗肾盂结石(结石直径>1.5 cm而≤2.5 cm),是安全、有效的,同时具有创伤小、并发症少、费用少等优点,条件合适的患者值得使用。术后服用肾石通颗粒能有效提高患者排石速度,从而缩短疗程,降低费用。
Objective: To observe the therapeutic effect of kidney stone particles combined with ureteroscopic holmium laser lithotripsy and ESWL in the treatment of renal pelvis stones. Methods: 64 patients with pyelolitholithiasis (diameter> 1.5 cm and ≤2.5 cm) admitted to our hospital from April 2012 to April 2015 were randomly divided into two groups (n = 32 in each group). Patients in the observation group were treated with nephrolithi granules combined with holmium laser lithotripsy and ESWL. Patients in the control group were treated with ureteroscopic holmium laser lithotripsy and ESWL. Results: Forty-four cases were successfully treated with hard-plastic lithotripsy. The rate of one-time lithotripsy was 68.75%. Twenty patients were successfully treated with extracorporeal shock wave lithotripsy without ureter perforation and severe complications such as pus and kidney. Postoperative ureteral stent 4 to 6 weeks. Three months after the film review, the observation group discharged 81.25% of the stone row, 71.88% in the control group. Conclusions: The ureteroscopic holmium laser lithotripsy combined with ESWL for the treatment of renal pelvis (diameter> 1.5cm and ≤2.5cm) is safe and effective, and has the advantages of less trauma, less complications and less cost. Patients with suitable conditions Worth to use. After taking kidney stone particles can effectively improve the speed of patients with stone row, which shorten the course of treatment and reduce costs.