Abstract:

Objective　To evaluate the effect of combined traditional Chinese medicine stone expulsion after ultramicro-percutaneous nephrolithotripsy in the treatment of kidney stones below 2 cm. Methods　This study was a randomized controlled trial. From October 2020 to December 2021, 60 patients with kidney stones who underwent ultramicro-percutaneous nephrolithotripsy in Department of Urology, Yangjiang Hospital of Traditional Chinese Medicine were enrolled. They were grouped according to the random numbering method, with 30 patients in each group. In the treatment group, 12 males and 18 females, with an average age of 37.43 years old, were treated with minimally invasive surgery combined with traditional Chinese medicine stone expulsion. In the control group, 15 males and 15 females, with an average age of 46.20 years old, were not given traditional Chinese medicine stone expulsion. The stone clearance rate and stone expulsion time after surgery were compared between the two groups. χ² test was used. Results　All 60 surgeries were successfully performed. Among them, the effective rate of the treatment group reached to 96.7% (29/30), which was higher than that of the control group [83.3% (25/30)], with a statistically significant difference (P<0.05). Conclusion　In the treatment of kidney stones, the combination of minimally invasive surgery and traditional Chinese medicine stone expulsion is minimally invasive and efficient, and has few complications, which significantly reduces the damage to the body.

Key words:

Kidney stones, Ultramicro-percutaneous nephrolithotripsy, Traditional Chinese medicine, Stone expulsion

摘要：

目的　观察超微经皮肾镜碎石术后联合中药排石治疗肾结石（结石<2 cm）的临床疗效。方法　本研究为随机对照试验。选取2020年10月至2021年12月阳江市中医医院泌尿外科行超微经皮肾镜碎石术的肾结石患者60例为研究对象，按照随机编号方法分为两组，各30例。治疗组男12例、女18例，平均年龄37.43岁，在微创手术基础上结合中药排石治疗；对照组男15例、女15例，平均年龄46.20岁，临床未给予中药排石治疗。对比两组患者术后结石治愈率。采用χ²检验。结果　60例患者手术均顺利完成。治疗组结石治愈率为96.7%（29/30），高于对照组的83.3%（25/30），差异有统计学意义（P<0.05）。结论　微创手术结合中药排石治疗肾结石微创、高效，且并发症较少，减少对患者机体的损伤。

关键词:

肾结石, 超微经皮肾镜碎石术, 中药, 排石