体外震荡波碎石术后中西医结合治疗泌尿系结石882例临床分析

目的：探讨体外震荡波碎石术后中西医结合治疗对泌尿系结石的疗效。方法：选取882例直径≥10mm泌尿系结石的患者进行分析。体外冲击波碎石术后，在应用常规西药基础上加用八正散化裁治疗。结果：1）肾结石343例中直径〈20mm者201例1次治愈，20—30mm者78例碎石2～3次治愈，3个月内治愈率93％，〉30mm者64例碎石率100％，2个月内结石排空率为82．9％。2）输尿管结石352例中，235例1次治愈，117例经2次或2次以上治疗，1个月内治愈率97．9％。3）膀胱结石187例中，129例1次治愈，28例经2～3次碎石治疗，1个月内结石排空率100％，〉30mm者20例中，碎石率98％，2个月内结石排空率为98％。结论：碎石术后采用中西医结合疗法可提高疗效，减少复发。

Integrative Chinese and Western Medicine for 882 Urinary Calculus Cases After Shock Wave Lithotripsy

Objective：To explore the efficacy of integrative Chinese and western medicine on the urinary calculus after the shock wave lithotripsy. Methods： Modified Bazheng San was administered in addition to basic western medicine on 882 patients who had their urinary calculus （d≥ 10mm） removed by shock wave before. Results： 1 ） renal calculus： 201,78, 64 patients with respective calculus diameters of 〈 20mm,20mm - 30mm, 〉 30 mm were cured after 1 course, or 2 - 3 courses within 3 months（ recovery rate = 93% ）, or 2 months （calculus empting rate = 82.9% ） respectively. 2） ureteral calculus： 235 patients were cured with one course, 117 patients with two or more courses, （recovery rate within 1 month = 97.9% ）. 3 ） bladder calculus： 129, 28, 20 patients（ d 〉 30 mm） were cured after 1 course, or 2 - 3 courses within 1 month （ calculus empting rate = 100% ）, or 2 months （ lithotripsy rate = 98%, empting rate = 98% ） respectively. Conclusion： Integrative Chinese and western medicine treatment can prevent relapse of urinary calculus after shock wave lithotripsy.