清熱化瘀法對(duì)輸尿管結(jié)石經(jīng)輸尿管鏡碎石術(shù)后排石作用的臨床研究
[Abstract]:Objective: to evaluate the clinical efficacy and safety of removing heat and removing blood stasis in the treatment of ureteral calculi after ureteroscopic lithotripsy. Methods: from October 2013 to October 2015, 368 cases of ureteroscopic lithotripsy were randomly divided into two groups: 186 cases in the treatment group and 182 cases in the control group. All the patients were examined with B-ultrasound or X-ray plain film (KUB), and urine routine at 1: 2 and 4 weeks postoperatively. The time of stone removal, urine occult blood, the degree and incidence of pain in waist and abdomen were observed. All the data were analyzed by SPSS19.0 statistical software. Results: the stone removal rate in the treatment group was 67.74 and 90.32 respectively at 1 and 2 weeks after operation, which was significantly better than that in the control group (45.60,74.18) (P0.05). In the treatment group, the stone removal rate was 98.92% 4 weeks after operation, and there was no significant difference between the treatment group and the control group (98.35%) (P0.05). In the treatment group, the occult blood condition of the patients in the treatment group was lighter than that in the control group at 1 and 2 weeks postoperatively (P0.05). The incidence of lumbar abdominal pain in the treatment group was 53.76, which was significantly different from that in the control group (68.13%) (P0.05), and the severity of lumbar abdominal pain in the treatment group was significantly lighter than that in the control group. The difference was statistically significant (P0.05). Conclusion: the treatment of ureteral calculi through ureteroscopic lithotripsy can obviously promote the excretion of stones, shorten the time of lithotomy, reduce the occurrence of hematuria and pain in the waist and abdomen, and promote the early recovery of the patients.
【學(xué)位授予單位】:山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R699.4
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