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Apamarga-Ksharataila Uttarabasti治疗尿道狭窄的临床评估

Clinical evaluation of Apamarga-Ksharataila Uttarabasti in the management of urethral stricture.

作者信息

Reddy K Rajeshwar

机构信息

Associate Professor, Department of Shalya Tantra, R.A. Podar Medical (Ayu) College, Worli, Mumbai, Maharashtra, India.

出版信息

Ayu. 2013 Apr;34(2):180-3. doi: 10.4103/0974-8520.119674.

DOI:10.4103/0974-8520.119674
PMID:24250127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3821247/
Abstract

Stricture urethra, though a rare condition, still is a rational and troublesome problem in the international society. Major complications caused by this disease are obstructed urine flow, urine stasis leading to urinary tract infection, calculi formation, etc. This condition can be correlated with Mutramarga Sankocha in Ayurveda. Modern medical science suggests urethral dilatation, which may cause bleeding, false passage and fistula formation in few cases. Surgical procedures have their own complications and limitations. Uttarabasti, a para-surgical procedure is the most effective available treatment in Ayurveda for the diseases of Mutravaha Strotas. In the present study, total 60 patients of urethral stricture were divided into two groups and treated with Uttarabasti (Group A) and urethral dilatation (Group B). The symptoms like obstructed urine flow, straining, dribbling and prolongation of micturation were assessed before and after treatment. The results of the study were significant on all the parameters.

摘要

尿道狭窄虽是一种罕见病症,但在国际上仍是一个合理且棘手的问题。该疾病引发的主要并发症包括尿流受阻、尿液潴留导致尿路感染、结石形成等。这种病症可与阿育吠陀医学中的Mutramarga Sankocha相关联。现代医学建议进行尿道扩张,但少数情况下可能会导致出血、假道形成和瘘管形成。外科手术有其自身的并发症和局限性。Uttarabasti,一种辅助手术程序,是阿育吠陀医学中治疗Mutravaha Strotas疾病最有效的可用疗法。在本研究中,总共60例尿道狭窄患者被分为两组,分别接受Uttarabasti治疗(A组)和尿道扩张治疗(B组)。在治疗前后对尿流受阻、排尿费力、滴沥和排尿时间延长等症状进行了评估。研究结果在所有参数上均具有显著性。

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本文引用的文献

1
Case report: "Management of urethral stricture with Uttara Basti".病例报告:“乌塔拉灌肠法治疗尿道狭窄”
Anc Sci Life. 2010 Oct;30(2):51-3.
2
Extended complications of urethroplasty.尿道成形术的远期并发症
Int Braz J Urol. 2005 Jul-Aug;31(4):315-23; discussion 324-5. doi: 10.1590/s1677-55382005000400004.