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通过中医锻炼成功排出尿路结石的一例患者报告

Urinary calculi successfully expelled in a patient through traditional Chinese exercise: A case report.

作者信息

You Chengheng, Li Jing Xian, Li Guanwu, Dun Rongliang, Fang Min, Zhu Qingguang

机构信息

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.

出版信息

Medicine (Baltimore). 2024 Nov 22;103(47):e40641. doi: 10.1097/MD.0000000000040641.

Abstract

RATIONALE

Urinary calculi are hard mineral deposits that typically require medication or surgery, such as lithotripsy. This case report presents traditional Chinese exercises (TCEs) as a potential alternative for stone expulsion.

PATIENT CONCERNS

A 41-year-old male with no history of urinary tract stones, experienced sudden severe lower back and abdominal pain accompanied by nausea and vomiting.

DIAGNOSIS

Computed tomography scan revealed a small calculus at the distal end of the left ureter (within the bladder wall), approximately 2 mm in size, with mild hydronephrosis in the ureter and renal pelvis.

INTERVENTIONS

The patient was initially prescribed medication for pain relief and was advised to engage in TCEs.

OUTCOMES

Follow-up computed tomography scan after the exercise regimen showed complete expulsion and disappearance of the urinary calculi. The patient reported significant improvement in physical and mental health with no recurrence of calculi observed in subsequent checkups.

LESSONS

This case suggests that TCEs may facilitate the expulsion of small urinary calculi, offering a noninvasive treatment option. Further research is needed to confirm the therapeutic effects of TCEs on urinary calculi and to explore its potential mechanisms.

摘要

原理

尿结石是坚硬的矿物质沉积物,通常需要药物治疗或手术,如碎石术。本病例报告展示了传统中医运动(TCEs)作为结石排出的一种潜在替代方法。

患者情况

一名41岁男性,无尿路结石病史,突然出现严重的下背部和腹部疼痛,并伴有恶心和呕吐。

诊断

计算机断层扫描显示左输尿管远端(膀胱壁内)有一个小结石,大小约2毫米,输尿管和肾盂有轻度肾积水。

干预措施

患者最初被开了止痛药,并被建议进行传统中医运动。

结果

运动方案后的随访计算机断层扫描显示尿结石完全排出并消失。患者报告身心健康有显著改善,后续检查未观察到结石复发。

经验教训

本病例表明,传统中医运动可能有助于排出小的尿结石,提供了一种非侵入性的治疗选择。需要进一步研究来证实传统中医运动对尿结石的治疗效果,并探索其潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/11596341/403d4fc764dd/medi-103-e40641-g001.jpg

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本文引用的文献

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Prevalence of renal uric acid stones in the adult.成人肾脏尿酸结石的患病率。
Urolithiasis. 2017 Dec;45(6):553-562. doi: 10.1007/s00240-017-0962-5. Epub 2017 Mar 3.
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Lifestyle recommendations to reduce the risk of kidney stones.生活方式建议可降低肾结石风险。
Urol Clin North Am. 2011 Aug;38(3):313-20. doi: 10.1016/j.ucl.2011.04.002. Epub 2011 Jun 8.
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A comprehensive review of health benefits of qigong and tai chi.气功与太极的健康效益综合述评。
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