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目的:观察中医药对后腹腔镜手术治疗上尿路疾病患者术后恢复的影响。方法:四川省中医院2013年6月~2014年6月收治的150例上尿路疾病患者为研究对象,随机将患者分为两组,各75例,对照组患者行后腹腔镜手术治疗,观察组患者在对照组基础上联合中医药治疗,比较两组术后恢复及并发症发生情况。结果:(1)上尿路结石术后恢复情况:术后1个月B超复查,观察组1结石排净率1高于对照组1,差异显著(P<0.05);两组首次平均排石时间、住院时间比较,差异显著(P<0.05)。(2)上尿路梗阻致肾功能不全术后恢复情况:两组治疗后Cr、BUN、平均住院时间比较,差异显著(P<0.05)。(3)术后并发症情况:两组发热、尿路感染、血尿发生率比较,差异有统计学意义(P<0.05)。结论:中医药能有效促进上尿路疾病患者腹腔镜术后恢复,并发症相对少,安全有效,值得临床推广。
Objective: To observe the effect of traditional Chinese medicine on postoperative recovery of patients with upper urinary tract diseases treated by retroperitoneal laparoscopy. Methods: One hundred and fifty cases of upper urinary tract diseases admitted from June 2013 to June 2014 in Sichuan Provincial Hospital of Traditional Chinese Medicine were divided into two groups (75 cases) randomly. Patients in the control group underwent laparoscopic surgery, Patients in the observation group were treated with traditional Chinese medicine on the basis of the control group, and the postoperative recovery and complications of the two groups were compared. Results: (1) The postoperative recovery of upper urinary tract stones: One month after operation, the average rate of stone 1 in observation group 1 was higher than that in control group 1 (P <0.05) Stone time, hospital stay, the difference was significant (P <0.05). (2) Upper urinary tract obstruction caused by renal dysfunction recovery: two groups of treatment Cr, BUN, the average length of stay in hospital, the difference was significant (P <0.05). (3) postoperative complications: two groups of fever, urinary tract infection, hematuria, the difference was statistically significant (P <0.05). Conclusion: Traditional Chinese medicine can effectively promote the recovery of patients with upper urinary tract diseases after laparoscopic surgery, the complication is relatively small, safe and effective, worthy of clinical promotion.