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Clinical Review Of Self - Made Row Of Stone Pellets Combined With ESWL In The Treatment Of Damp - Heat - Related Ureteral Calculi

Posted on:2017-05-24Degree:MasterType:Thesis
Country:ChinaCandidate:N J ZouFull Text:PDF
GTID:2174330485497179Subject:Chinese traditional surgery
Abstract/Summary:PDF Full Text Request
Purpose: To investigate the cinical curative effect of Rows of stone powder particles combined with extracorporeal shock wave lithotvipsy.in patients with pamp and hot accumulate knot ureteral calculic.To explore the effect of cure rate and total efficiency of Paishi powder granule on ureteral calculi after treatment of ESWL.Material and method: This study used retrospective analysis method, the patients from January January 2015 to 2016 in Liaoning Province Chinese medicine hospital uropoiesis surgical department outpatient and inpatient selected, which met the standard of diagnosis of ureteral calculi and TCM 74 cases with damp heat syndrome type. In the treatment group, 42 cases(56.8%) were treated by extracorporeal shock wave lithotripsy. In the control group, 32 cases(43.2%) were treated by extracorporeal lithotripsy. Two groups of patients were treated by the corresponding antispasmodic analgesic therapy. The total effective rate and cure rate, the main clinical symptoms and signs score, the discharge time of ureteral calculi and the effect of the treatment of the two groups were analyzed and the corresponding results were obtained.Results: 1, the treatment group, the cure rate was 73.81%. The total effective rate was 95.24%, control group, the cure rate was 53.13% and the total effective rate was 81.25%. The two groups compared P < 0.05 was significant different, indicating that for the cure rate and total efficiency, the treatment group curative effect surpasses the control group. 2. The rate of stone removal in treatment group(73.81%), compared with the control group(51.13%) compared with P < 0.05, which showed that the stone removal rate was higher than that of the control group. 3, treatment group, the stone discharge time(8.87 ± 2.23) days, and control group(11.71 ± 1.31) TX P < 0.05 were considered to be significantly different than that for the stones discharge time in treatment group was shorter than the control group. 4, treatment group and control group before and after treatment of main clinical symptoms and signs scores(P < 0.05) had significant difference, indicate that the two therapeutic schemes were significantly relieved the symptoms and signs of ureteral calculi, treatment group curative effect surpasses the control group. 5, two groups of postoperative seven days hematuria(microscopic hematuria), the treatment group for(4.33±2.51) / HP, and the control group(5.44±1.88) / HP compared, P < 0.05 differences, suggested that to improve the symptoms of hematuria, the treatment group was better than that of the control group.Conclusion: According to TCM syndrome differentiation and treatment of guiding principle, Liaoning Province Hospital of traditional Chinese Medicine Department of Urology self clearing heat and removing dampness, showering discharging stone row of stone powder particles, of ureteral calculi by extracorporeal shock wave lithotripsy in patients, there are obvious promotion stone expulsion. According to compare between two groups of the main clinical indicators in the results. The results show that in the treatment group than in the control group can obviously improve the clinical symptoms of ureteral calculi patients, improve the stone expulsion rate, reduce the stone expulsion time and has higher clinical application value.
Keywords/Search Tags:Paishi granule, ESWL, ureteral calculi, rdhs
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