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目的探讨枸橼酸氢钾钠联合体外冲击波治疗输尿管上段尿酸结石的临床疗效。方法 2007年1月2009年5月收治输尿管尿酸结石患者89例,枸橼酸氢钾钠联合体外冲击波碎石治疗输尿管上段尿酸结石48例,并与复方金钱草颗粒联合体外冲击波碎石治疗的患者41例进行对比。结果试验组排出结石41例,有效率85.4%,对照组排出结石24例,有效率58.5%;排出结石时间试验组(12±3)d,对照组(20±5)d。结论输尿管上段尿酸结石体外冲击波碎石治疗后口服友来特可以提高治愈率,并可以减少输尿管石街的形成。
Objective To investigate the clinical efficacy of sodium citrate combined with extracorporeal shock wave in the treatment of upper ureteral calculi. Methods January 2007 January 2009 89 patients with ureteral calculi were treated with potassium citrate combined with extracorporeal shock wave lithotripsy in 48 cases of upper ureteral calculi and combined with compound money grass particles combined with extracorporeal shock wave lithotripsy patients 41 cases were compared. Results In the experimental group, 41 cases were discharged with the effective rate of 85.4%. The control group with 24 cases of discharged calculus had an effective rate of 58.5%. The time of stone discharge was 12 ± 3 days and the control group was 20 ± 5 days. Conclusion Ureteral calculi in the upper ureter after shock wave lithotripsy oral FRP can improve the cure rate, and can reduce the formation of ureteral stone street.