摘要
目的:探讨气滞血瘀型输尿管结石患者应用输尿管软镜钬激光碎石术联合排石基本方治疗的临床效果。方法:回顾性分析2021年3月—2025年3月淮安市中医院收治的80例气滞血瘀型输尿管结石患者的临床资料,根据治疗方案的不同分为试验组(n=40)与对照组(n=40)。对照组接受输尿管软镜钬激光碎石术,试验组在此基础上联合排石基本方治疗,连续用药2周。对比两组术后恢复情况(血尿改善时间、止痛药使用率、结石排净率、住院时间)、中医证候积分、肾功能、并发症(尿路感染、尿液外渗、腰痛)。结果:试验组血尿改善时间早于对照组,住院时间短于对照组(P<0.05);试验组止痛药使用率低于对照组,术后2周结石排净率高于对照组(P<0.05)。术后1周,试验组尿频、少腹急满、小便淋沥不畅、尿急积分较对照组低(P<0.05)。术后2周,试验组Scr、BUN、胱抑素C(Cys C)、β_(2)微球蛋白(β_(2)-MG)水平较对照组低(P<0.05)。试验组并发症发生率较对照组低(P<0.05)。结论:输尿管软镜钬激光碎石术联合排石基本方能够促进气滞血瘀型输尿管结石患者术后血尿改善,减少止痛药使用,提高结石排净率,缩短住院时间,改善肾功能,减少并发症发生。
Objective:To explore the clinical effect of flexible ureteroscopic holmium laser lithotripsy combined with Paishi Jiben Formula in patients with ureteral calculi of Qi stagnation and blood stasis type.Method:A retrospective analysis was conducted on the clinical data of 80 patients with ureteral calculi of Qi stagnation and blood stasis type admitted to Huai’an Hospital of Traditional Chinese Medicine from March 2021 to March 2025.They were divided into the experimental group(n=40)and the control group(n=40)according to different treatment plans.The control group received flexible ureteroscopic holmium laser lithotripsy,and the experimental group was treated with the Paishi Jiben Formula on this basis,with continuous medication for 2 weeks.The postoperative recovery conditions(time for improvement of hematuria,usage rate of painkillers,stone clearance rate,hospital stay),traditional Chinese medicine syndromes scores,renal function,and complications(urinary tract infection,urine extravasation,low back pain)of the two groups were compared.Result:The improvement time of hematuria in the experimental group was earlier than that in the control group,the hospital stay was shorter than that in the control group(P<0.05).The usage rate of painkillers in the experimental group was lower than that in the control group,and the stone clearance rate 2 weeks after the operation was higher than that in the control group(P<0.05).One week after the operation,the scores of pollakiuria,acute distension and fullness of the lower abdomen,dysuria with dribbling and urinary urgency in the experimental group were lower than those in the control group(P<0.05).Two weeks after the operation,the levels of Scr,BUN,cystatin C(Cys C),andβ_(2)-microglobulin(β_(2)-MG)in the experimental group were lower than those in the control group(P<0.05).The incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion:Flexible ureteroscope holmium laser lithotripsy combined with Paishi Jiben Formula can promote the improvement of postoperative hematuria in patients with ureteral calculi of Qi stagnation and blood stasis type,reduce the use of painkillers,increase the stone expulsion rate,shorten the hospital stay,improve renal function and reduce the occurrence of complications.
作者
袁翀
季克锴
YUAN Chong;JI Kekai(Department of Urology,Huai’an Hospital of Traditional Chinese Medicine,Huai’an 223001,China;不详)
出处
《中国医学创新》
2025年第36期37-41,共5页
Medical Innovation of China
关键词
输尿管结石
输尿管软镜
钬激光碎石术
排石基本方
肾功能
Ureteral calculi
Flexible ureteroscope
Holmium laser lithotripsy
Paishi Jiben Formula
Renal function
