关键词: Chinese herbal medicine Extracorporeal shock wave lithotripsy Hydronephrosis Urolithiasis

Mesh : Drugs, Chinese Herbal / adverse effects therapeutic use Flank Pain / etiology Hematuria / etiology Humans Hydronephrosis / etiology Lithotripsy Male Middle Aged Urolithiasis / complications therapy

来  源:   DOI:10.1016/j.ctim.2017.12.007   PDF(Sci-hub)

Abstract:
OBJECTIVE: Urolithiasis is a common medical condition affecting the urinary tract. Typical symptoms reported by patients include colic pain and hematuria. Some patients may undergo surgical intervention or lithotripsy to remove the stones. In this case, we demonstrated that Chinese herbal medicine (CHM) was an effective modality to remove stones in a patient with urolithiasis.
UNASSIGNED: A 47-year-old man suffered from right flank pain and hematuria for three months and was diagnosed with an upper third ureteral stone obstruction with right hydronephrosis. He had received extracorporeal shock wave lithotripsy (ESWL) three times before his first CHM visit, but it was unsuccessful. Therefore, he sought CHM for further intervention. His symptoms subsided, and the image study showed complete removal of the ureteral stone after regular therapy with Zhi Bai Di Huang Wan () combined with Lygodii spora (), Curcumae radix (), Endothelium Corneum Gigeriae Galli (), Lysimachiae herba (), Orthosiphon stamineus () for approximately four months. Neither complications nor side-effects were noted during the CHM treatment.
CONCLUSIONS: In this case, we concluded that CHM may be an effective alternative therapy for the treatment of ureteral stones, and furthermore, may also be applied as an option to salvage failed ESWL procedures.
摘要:
目的:尿石症是影响尿路的常见疾病。患者报告的典型症状包括绞痛和血尿。一些患者可能会接受手术干预或碎石术以清除结石。在这种情况下,我们证明,中草药(CHM)是清除尿石症患者结石的有效方法。
一名47岁的男子患有右侧腹疼痛和血尿3个月,被诊断为输尿管上三分之一段结石并伴有右肾积水。在他第一次访问CHM之前,他已经接受了三次体外冲击波碎石术(ESWL),但没有成功.因此,他寻求CHM进一步干预。他的症状消退了,图像研究显示,在常规治疗后,用白柏地黄丸()联合大白草孢子()完全清除了输尿管结石,郁金香(),GigeriaeGalli(),金钱草(),Orthosiphonstamineus()大约四个月。在CHM治疗期间未发现并发症或副作用。
结论:在这种情况下,我们得出结论,CHM可能是治疗输尿管结石的有效替代疗法,而且,也可以作为抢救失败的ESWL程序的一种选择。
公众号