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中药治疗右腰部疼痛伴血尿患者的尿路结石:病例报告。

Chinese herbal medicine to treat urolithiasis in a patient with right flank pain and hematuria: A case report.

机构信息

Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan.

Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan; School of Chinese Medicine, China Medical University, Taichung, Taiwan.

出版信息

Complement Ther Med. 2018 Feb;36:118-122. doi: 10.1016/j.ctim.2017.12.007. Epub 2017 Dec 12.

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.

CLINICAL FEATURES AND OUTCOME

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

尿石症是一种常见的影响尿路的医学病症。患者常报告的典型症状包括绞痛和血尿。一些患者可能需要接受手术干预或碎石术来移除结石。在本病例中,我们证明了中药(CHM)是一种治疗尿石症患者结石的有效方法。

临床特征和结果

一名 47 岁男性因右侧腰痛和血尿已持续三个月,被诊断为上三分之一输尿管结石伴右侧肾积水。他在首次接受 CHM 治疗前已经接受了三次体外冲击波碎石术(ESWL),但均未成功。因此,他寻求 CHM 进一步干预。他的症状缓解,影像学研究显示,在定期接受知柏地黄丸()联合地龙()、莪术()、鸡内金()、金钱草()、田基黄()治疗约四个月后,输尿管结石完全排出。在 CHM 治疗期间,未观察到并发症或不良反应。

结论

在本病例中,我们得出结论,CHM 可能是治疗输尿管结石的一种有效替代疗法,此外,它也可以作为挽救 ESWL 失败的一种选择。

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