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目的:观察经皮肾镜Cyberwand双导管超声碎石术后配合口服尿石通治疗肾铸型结石的临床效果。方法:采用回顾性分析方法,入选患者按治疗方法分为2组各50例。有合并症患者先作治疗纠正;碎石治疗采用C臂X线机引导下经皮肾镜Cyberwand双导管超声碎石清石系统治疗;治疗组患者术后配合口服尿石通。观察术后不同时点结石排出情况和症状改善情况。结果:治疗组全部排石37例,部分排石13例;在术后7、21、42天3个不同时段的治愈率显著高于对照组,治疗后腰部隐痛、腰腹部如绞、小便刺痛等缓解率均高于对照组,差异均有显著性意义(P<0.05),提示尿石通能有效加速碎石治疗后结石排出,有效改善疼痛等临床症状。结论:经皮肾镜Cyberwand双导管超声碎石术后配合口服尿石通排石可以促进结石排出,提高结石治愈率,改善临床症状,具有良好的临床应用价值。
Objective: To observe the clinical effect of percutaneous nephrolithotomy Cyberwand double catheter ultrasonic lithotripsy combined with oral uroliths for the treatment of renal calculi. Methods: By retrospective analysis, selected patients were divided into two groups according to the treatment of 50 cases. Patients with comorbidities were treated for correction; lithotripsy with C-arm X-ray guided percutaneous nephroscope Cyberwand dual catheter ultrasound lithotripsy; treatment group patients with oral urolithiasis. The stone discharge and symptom improvement at different time points were observed. Results: In the treatment group, all stones were discharged in 37 cases and in some cases in 13 cases. The cure rates at 3, 7, 21, and 42 days after operation were significantly higher than those in the control group. Pain and other relief rates were higher than the control group, the difference was statistically significant (P <0.05), suggesting that urolithiasis can effectively accelerate the lithotripsy after lithotripsy, effectively improve the clinical symptoms such as pain. Conclusion: Percutaneous nephrostomy with Cyberwand dual-guided ultrasonic lithotripsy combined with oral urolithiasis can promote the excretion of stones, improve the cure rate of calculi and improve the clinical symptoms, which has a good clinical value.