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张钊,刘猷枋.活血化瘀法治疗结石性输尿管梗阻、肾积水[J].,1983,(6):334-337,323
活血化瘀法治疗结石性输尿管梗阻、肾积水
Treatment of Hydronephrosis Caused by Ureteric Stone Obstruction with Activating Blood Circulation and Removing Stasia Method
  
DOI:
中文关键词:  输尿管梗阻  肾积水  结石复发  输尿管结石  肾功能  手术治疗  治疗方法  停留时间  活血化瘀法治疗  中医药治疗
英文关键词:
基金项目:
Author NameAffiliation
张钊 中医研究院广安门医院泌尿外科 
刘猷枋 中医研究院广安门医院泌尿外科 
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中文摘要:
      输尿管结石虽有一定的自排率,但如横径>0.6cm 以上,或停留时间较长,则较难排出。结石堵塞输尿管可致患侧肾功能严重损害,因此,多数学者对结石性输尿管梗阻,主张积极的手术治疗。一般认为,如果梗阻持续3周左右不能缓解,就必须手术。结石复发率高,据文献报告5年复发率为
英文摘要:
      Hydronephrosis caused by ureteric stone obstruction may rapidly impair the renal function and destroy the normal parenchyma.In the past,results of conservative treatment were quite inconsistent,especially for impactcd big stone,therefor an early surgical removal of calculi were advocated. A TCM diagnosis of the symptoms and signs of 32 patients was made and the patients were treated by the principle of activating blood circulation and removing stasis.The changes of renal function and calculous descending and expulsion by x-ray plain film,intravenous pyelography(IVP)and isotope renograph were observed. Results of the observation:after 1-4 months(average 2 months)of herbal therapy,most of the patients had their excretory C segment of renogram recovered to normal,renal function improved and IVP check-up showing normal kidney with good function.With the continuation of the herbal therapy,66.7% of the stones finally passed out spontaneouly. Our conclusion is that hydronephrosis caused by ureteric obstruction is not sole indication of an immediate operation.Clinical data and our experimental study have proyed that its efficacious actions are due to promoting the absorption of inflammation,edematous condition and adhesion;on the other hand,it promotes the peristalsis of ureter,but does not increase the urinary stream obviously.Further research work about its mechanism is to be done.
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