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目的验证中西医结合综合疗法治疗上尿路结石的临床疗效。方法将182例患者根据结石大小分为两组,每组内再随机分为治疗组和对照组。结石较小一组采用体外冲击波碎石后配合针刺治疗与单纯碎石治疗,对比临床疗效;另一组采用输尿管镜或经皮肾镜碎石术配合中药治疗与单纯碎石术治疗上尿路结石,对比临床疗效。结果体外冲击波碎石后配合针刺治疗上尿路结石疗效优于单纯碎石治疗;输尿管镜或经皮肾镜碎石术配合中药治疗上尿路结石疗效优于单纯碎石术治疗。结论体外冲击波碎石后配合针刺,输尿管镜或经皮肾镜碎石术配合中药治疗上尿路结石疗效显著。
Objective To verify the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of upper urinary tract calculi. Methods 182 patients were divided into two groups according to the size of stones, each group were randomly divided into treatment group and control group. A smaller group of stones with extracorporeal shock wave lithotripsy with acupuncture treatment and simple lithotripsy, the clinical efficacy compared; the other group using ureteroscopy or percutaneous nephrolithotripsy combined with traditional Chinese medicine treatment and simple lithotomy for upper urinary tract Road stones, compared with clinical efficacy. Results Extracorporeal shock wave lithotripsy combined with acupuncture for the treatment of upper urinary tract calculi is superior to simple lithotripsy; ureteroscopy or percutaneous nephrolithotripsy combined with traditional Chinese medicine in the treatment of upper urinary tract calculi is superior to simple lithotripsy. Conclusion Extracorporeal shock wave lithotripsy combined with acupuncture, ureteroscope or percutaneous nephrolithotripsy combined with traditional Chinese medicine treatment of upper urinary tract stones significant effect.