经皮肾输尿管镜取石术联合中药治疗72例的临床效果观察

Clinical observation on treating 72 cases of percutaneous by percutaneous renal lithotripsy plus TCM medicine

目的:探讨经皮肾疏尿管镜取石术联合中药治疗上尿路结石的临床效果。方法:以2012年1月-2013年1月由本院收治的72例上尿路结石患者为研究对象,将其随机平均划分为观察组和治疗组,观察组给予常规经尿道输尿管镜结石术,治疗组给予一期经皮肾输尿管镜取石术,并在术后给予口服中药尿石清制剂。观察分析两组患者手术成功率、结石清除率、血清C反应蛋白值及机体损伤度等。结果:治疗组手术成功率、结石清除率明显优于对照组,P<0.05,差异具有统计学意义;两组血清C反应蛋白相比,P>0.05,差异无统计学意义。结论:经皮肾输尿管镜取石术联合中药治疗上尿路结石安全可靠,值得在临床上进行深入研究和推广应用。

Objective：To investigate clinical effects of percutaneous renal lithotripsy plus TCM medicine. Methods：72 cases of upper urinary tract stone were randomly and equally divided into the observation group and the treatment group;the observation group was given routine transurethral ureteroscopic stone surgery;the treatment group was given a period after percutaneous renal ureteroscope from stone operation, and TCM medicine for urolithiasis cleaning agents. Results：The success rate, stone clearance rate in the treatment group were signiifcantly better, P〈0.05;the serum C reactive protein in two groups was similar, P＆gt;0.05. Conclusion：Percutaneous renal lithotripsy plus TCM medicine for upper urinary tract calculi is safe and reliable, and worthy of further research and application in clinic.