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目的:观察加味健脾益肾方配合经皮肾镜联合钬激光治疗铸型肾结石的临床疗效。方法:将80例铸型肾结石患者随机分为实验组与对照组,每组40例,全部在B超引导下建立经皮肾镜通道,采用经皮肾镜联合钬激光治疗加超声碎石清石系统进行碎石和清石。对照组患者术后口服枸橼酸氢钾钠颗粒4周;实验组患者术后口服加味健脾益肾方4周。结果:80例患者均手术成功,与对照组残留结石治愈率比较,差异有统计学意义(P<0.05)。结论:加味健脾益肾方配合经皮肾镜联合钬激光治疗铸型肾结石疗效肯定。
Objective: To observe the clinical effects of Jiawei Jianpi Yishen Recipe combined with percutaneous nephrolithotomy and holmium laser in the treatment of cast renal stone. Methods: 80 cases of renal calculi were randomly divided into experimental group and control group, 40 cases in each group, all under the guidance of B-percutaneous nephroscopy, percutaneous nephrolithotomy combined with holmium laser plus ultrasonic lithotripsy Stone system for gravel and clear stone. The patients in the control group were orally administered sodium hydrogen citrate granules for 4 weeks after operation. The patients in the experimental group were orally administered with Jianpi Yishen Decoction for 4 weeks after operation. Results: All the 80 patients were operated successfully, and the difference was statistically significant (P <0.05). Conclusion: Modified Jianpi Yishen Recipe combined with percutaneous nephrolithotomy combined with holmium laser treatment of renal calculi confirmed.