输尿管镜碎石术后辅助中药排石饮治疗输尿管结石的疗效分析

Curative effect of ureteroscopy lithotripsy combined with Paishi decoction on patients with ureteral calculi

目的 探讨输尿管镜碎石术后辅助应用中药排石饮治疗的疗效.方法 选择2014年6月至2016年6月我院临床确诊的输尿管中下段结石患者共112例为研究对象,随机分为治疗组和对照组,每组56例.两组均常规行输尿管镜下气压弹道碎石术治疗,治疗组术后在常规消炎、止血等治疗基础上辨证应用中药排石饮,口服2周.对照组术后仅常规予以消炎、止血等治疗,观察术后1、2周两组的残留结石排出率.结果 术后1周,治疗组残留结石清除率与对照组相比,差异无统计学意义（P〉0.05）;术后2周,治疗组残留结石清除率显著高于对照组,差异有统计学意义（P〈0.05）.结论 输尿管镜碎石术后辅助中药治疗,可有效提高残留结石的清除率.

Objective To investigate the therapeutic effect of ureteroscopy lithotripsy combined with Paishi decoction on patients with ureteral calculi. Methods From June 2014 to June 2016, 112 cases of patients with nreteral calculi were randomly divided into treatment group and control group, with 56 cases in each group. Patients in the two groups were treated with ureteroscopy lithotripsy, and then patients in the control group were treated with conventional therapy after operation, such as eanti-inflammatory and hemostatic drugs, while the treatment group were given Paishi decoction for 2 weeks on the basis of the conventional therapy. The residual stone removal rate was observed in the two groups at 1 and 2 weeks after operation. Results One weeks after operation, there was no statistical difference in residual stone removal rate between two groups （P〉0.05）; two weeks after operation, the residual stone removal rate of the treatment group was significantly higher than that of the control group （P〈0.05）. Conclusion Application of traditional Chinese medicine after the treatment of ureteroscopy lithotripsy can effectively improve the stone removal rate of residual stone.