摘要
目的探究改良总攻排石法配合坦索罗辛在治疗输尿管下段结石中的临床效果。方法对2011年3月~2015年3月于本院肾科门诊诊治的72例输尿管下段结石患者,随机分组观察对比两种排石法（单纯改良总攻排石法与改良总攻排石法配合坦索罗辛）治疗效果及并发症等情况。结果两组均未发生低血压头晕、过敏等不良反应,对照组（单纯改良总攻排石）并发肾绞痛、肉眼血尿均高于治疗组（改良总攻排石联合坦索罗辛）,而排石率、排石时间方面则治疗组优于对照组（P〈0.05）。结论在输尿管下段结石的保守治疗方法中,＂改良总攻排石法＂配合坦索罗辛缓释胶囊治疗可取得较高排石率,并能解除梗阻而保护肾功能;且不良反应轻、安全无创、简便经济,特别是在条件有限的基层医院,对于具备保守治疗适应证的结石患者,而又无条件进行微创手术的情况下更具有使用的意义。
Objective To analyze and observe the clinical effects of modified general offensive Paishi therapy combined with tamsulosin in the treatment of lower ureteral calculi. Methods Seventy-two cases of ureteral calculi were treated at Nephrology Department of our hospital from March 2011 to March 2015.The cases were divided into two groups to observe the two different treatment（modified general offensive Paishi therapy alone vs.modified general offensive Paishi therapy combined with tamsulosin）outcomes and complications.Results By comparing the outcomes of the two groups,no hypotension,dizziness,allergies and other adverse reactions occurred in both groups,and the incidences of concurrent renal colic and gross hematuria in the control group（modified general offensive Paishi therapy alone）were both higher than those in the treatment group（modified general offensive Paishi therapy combined with tamsulosin）.However,the lithagogue rate and time in the treatment group were better than those in the control group（P〈0.05）. Conclusion In the conservative treatment for lower ureteral calculi,the modified general offensive Paishi therapy combined with tamsulosin sustained release capsule can reach a higher lithagogue rate and relieve the obstruction to protect the renal function,and it is safe,simple and economical with mild side effects.Especially in some primary hospitals with limited condition,it is more beneficial for those calculus patients who have indications of conservative treatment but have no condition to perform minimally invasive surgery.
出处
《右江民族医学院学报》
2015年第6期783-785,共3页
Journal of Youjiang Medical University for Nationalities
关键词
输尿管结石
改良总攻排石法
坦索罗辛
lower ureteral calculi
modified general offensive Paishi therapy
tamsulosin
