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目的探讨坦索罗辛联合排石汤治疗输尿管下段结石的临床疗效。方法选择2011年3月至2012年5月在我院治疗的输尿管下段结石患者86例,随机分为两组,每组43例,对照组应用排石汤配合饮水、运动疗法治疗,治疗组在对照组的基础上加服盐酸坦索罗辛,观察两组疗效。结果经两周治疗后,对照组患者的结石排出率为62.79%,治疗组患者为81.40%,两组比较排石率差异有统计学意义(P<0.05)。结论坦索罗辛联合排石汤可促进输尿管下段和膀胱壁间段结石排出,无明显副作用,值得在临床上使用并推广。
Objective To investigate the clinical efficacy of tamsulosin combined with Paishi Decoction in the treatment of lower ureteral calculi. Methods Eighty-six patients with lower ureteral calculi treated in our hospital from March 2011 to May 2012 were randomly divided into two groups (43 in each group). Patients in the control group were treated with Paishi Decoction with drinking water and exercise therapy. On the basis of the control group, tamsulosin hydrochloride was added to observe the curative effect of the two groups. Results After two weeks’ treatment, the control group had a stone discharge rate of 62.79% and the treatment group was 81.40%. There was significant difference between the two groups (P <0.05). Conclusion Tamsulosin combined with Paishi Decoction can promote the discharge of stones between the lower ureter and the bladder wall with no obvious side effects, which is worth to be used clinically.