嵌顿性输尿管结石中西综合治疗探索

Exploration of integrated Chinese and western medicine treatment of impacted ureteral stones

针对嵌钝性输尿管结石局部黏膜组织增生水肿及息肉包裹的特点,将其归属为血瘀痰凝形成的有形实邪,根据《素问·阴阳应象大论》"血实宜决之"的理论,采用活血理气治则,辅助体外震波碎石治疗嵌钝性输尿管结石,拓展了传统中医治疗结石以利尿通淋为主的思路,提高了临床疗效。同时对嵌钝性输尿管结石的治疗,强调重视患者的肾功能,避免大剂量、反复使用造影剂,预防造影剂肾病的发生。当结石排除后应积极中药干预,运用益气活血类中药,抗炎、抗组织纤维化,帮助损伤的肾脏尽快恢复。运用利尿通淋类中药促进输尿管蠕动,利尿,冲刷尿路,防止代谢产物在尿路积聚形成结石核心,预防结石复发。

According to the characteristics of impacted ureteral stones in local mucosal tissue edema and polypus, we classified this syndrome of impacted ureteral stones as blood stasis and phlegm. And as to the theory of blood stasis being removed in Noinelude. Yin and yang theory, the method of activating blood and qi treatment and extracorporeal shock wave lithotripsy block blunt ureteral calculus improved the clinical effect of ureteral calculi relative to the traditional Chinese medicine treatment. For the treatment of ureteral calculi with blunt, we stressed the importance of renal function in patients, and avoided large and repeated doses of contrast agent to prevent contrast induced nephropathy. When stone removed, the intervention of traditional Chinese medicine should be performed. Using herbs of supplementing qi, activating blood circulation, anti-inflammatory, and anti- fibrosis helped the damaged kidneys to recover as soon as possible. Diuretics Dredging Stranguria herbs could promote ureteral peristalsis, diuretic, scouring urinary metabolites, and prevent the formation recurrence of stones in the urinary tract accumulation.