排石汤联合体外物理振动排石治疗肾结石ESWL术后残余碎片效果研究

目的:探讨中药排石汤联合体外物理振动排石(extracorporeal physical vibration lithotripsy,EPVL)治疗肾结石患者体外冲击波碎石(extracorporeal shock wave lithotripsy,ESWL)术后残余碎片的有效性及安全性.方法:选取进行ESWL治疗的2...

Effect of Paishi Decoction Combined with Extracorporeal Physical Vibration Lithotripsy in the Treatment of Residual Fragments after ESWL for Renal Calculi

Objective: To investigate the efficacy and safety of Paishi Decoction combined with extracorporeal physical vibration lithotripsy(EPVL) in the treatment of residual fragments after extracorporeal shock wave lithotripsy(ESWL) in patients with renal calculi.Methods: 210 patients with renal calculi treated with ESWL were randomly divided into Chinese materia medica treatment group, EPVL treatment group and Chinese materia medica combined with EPVL treatment group, with 70 cases in each group.The stone removal rate, first stone removal time, stone removal time, adverse reactions and complications of the three groups were compared at 1,2 and 4 weeks after ESWL.Results: At 1,2 and 4 weeks, the stone removal rate, the first stone removal time and the stone removal time of EPVL group and Chinese materia medica combined EPVL group were significantly better than those of Chinese materia medica group(P<0.05);at 1 and 2 weeks, the stone clearance rate of Chinese materia medica combined with EPVL group was higher than that of EPVL group(P<0.05);the first stone removal time and stone removal time in Chinese materia medica combined with EPVL group were shorter than those in EPVL group(P<0.05).No serious complications occurred in the three groups during treatment, only one case of fever occurred in EPVL group;the incidence of hematuria and leukocyturia in Chinese materia medica combined with EPVL group was lower than that in EPVL group and Chinese materia medica group(P<0.05).Conclusion: Paishi Decoction combined with EPVL can improve the residual stone removal rate after ESWL in patients with renal calculi, shorten the stone removal cycle, reduce the incidence of adverse reactions and cause no serious complications.It has high effectiveness and safety.