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目的探讨体外冲击波碎石术(ESWL)联合肾石通丸排石疗法治疗输尿管上段结石的临床疗效。方法采用双盲随机对照研究,将120例输尿管上段结石患者随机分为A(n=59)、B(n=61)两组。两组患者均常规行ESWL治疗。A组ESWL后,给予左氧氟沙星注射液静滴,B组在A组基础上加用肾石通丸口服。ESWL后2周、4周时评估疗效。结果 2周时B组治愈率、有效率分别为68.9%,91.5%;4周时B组治愈率、有效率分别为88.5%,91.5%均高于A组,两组比较差异有统计学意义。结论 ESWL联合肾石通丸排石疗法治疗输尿管上段结石,可提高疗效,缩短治疗时间,值得临床推广。
Objective To investigate the clinical efficacy of extracorporeal shock wave lithotripsy (ESWL) combined with Nephrite Thrombectomy for the treatment of upper ureteral calculi. Methods A double-blind, randomized, controlled trial of 120 patients with upper ureteral calculi was randomly divided into two groups: A (n = 59) and B (n = 61). Both groups were routinely treated with ESWL. After ESWL in group A, intravenous levofloxacin injection was given, and group B was treated with “Shensitong pill” on the basis of group A. Efficacy was assessed 2 weeks and 4 weeks after ESWL. Results The cure rates and effective rates of group B were 68.9% and 91.5% respectively at 2 weeks. The cure rates and effective rates of group B at 88 and 91.5% at 4 weeks were higher than those in group A, and the difference was statistically significant . Conclusion ESWL combined with Nephrite Thrombectomy for the treatment of upper ureteral stones can improve the curative effect and shorten the treatment time, which is worthy of clinical promotion.