成人上尿路结石中医证型与泌尿系彩色多普勒超声特点的相关性研究

Cerrelation Study on Adult Patients with Upper Urinary Tract Calculi on TCM Syndrome Types and Color Doppler Ultrasound Features

目的探讨成人上尿路结石患者中医证型与泌尿系彩色多普勒超声特点的相关性,为制定中西医结石防治提供客观依据。方法将入选269例成人上尿路结石患者辨证分为湿热下注型、气滞血瘀型、肝肾阴虚型、肾阳虚型4组,比较不同中医证型的泌尿系彩色多普勒超声参数的差异。结果在分型研究中肝肾阴虚证、肾阳虚证患者病程较长,年龄较大,与其他证型比较肾实质厚度、结石数量、结石大小、肾内段间动脉、叶间动脉、弓形动脉血流动力学有显著差异(P<0.05)。结论成人上尿路结石中医证型与泌尿系彩色多普勒超声临床参数有一定内在联系,可作为中医临床辨证分型提供一定的客观依据。

Objective To explore the correlation between adult patients with upper urinary tract calculi and TCM syndrome types and urinary color Doppler ultrasound characteristics, and provide the objective basis for the formulation of integrated traditional Chinese and Western medicine prevention of urinary tract calculi. Methods 269 cases of adult patients with upper urinary tract calculi were selected into 4 groups according to syndrome differentiation including damp heat syndrome, qi stagnation and blood stasis, liver kidney yin deficiency and kidney yang deficiency group, urinary color Doppler ultrasound parameters comparison of different TCM syndrome types. Results The course of disease in patients in the typing of liver kidney yin deficiency and kidney yang deficiency was much longer and older age than other types＇, then compared with other types of syndrome, the renal parenchymal thickness, the number of stones, stone size, number of aorta, renal segmental artery, interlobar artery, arcuate artery had significant differences（P〈0.05 ）. Conclusion There are some intrinsic relationships between adult upper urinary tract calculi in urinary system of TCM syndrome type and color Doppler imaging and clinical parameters. It can be used as a clinical way to provide objective basis for syndrome differentiation of TCM types.