체외충격파쇄석술 후 요관석의 배출에 미치는 Tamsulosin과 Nifedipine의 효과
The Effect of Tamsulosin and Nifedipine on Expulsion of Ureteral Stones after Extracorporeal Shock Wave Lithotripsy
최낙영, 안승현, 한준현, 장인호,
소속 상세정보
최낙영 ( Choi Nak-Young )
한전의료재단 한일병원 비뇨기과학교실
안승현 ( Ahn Seung-Hyun )
한전의료재단 한일병원 비뇨기과학교실
한준현 ( Han Jun-Hyun )
한전의료재단 한일병원 비뇨기과학교실
장인호 ( Chang In-Ho )
한전의료재단 한일병원 비뇨기과학교실
KMID : 0358320080490020150
Abstract
Purpose: We evaluated the effect of tamsulosin and nifedipine on expulsion of ureteral stones after extracorporeal shock wave lithotripsy(ESWL).
Materials and Methods: We evaluated 96 upper or lower ureteral stone patients. All patients received a single session of ESWL with a piezolith- 3000 and received twice-a-day oral treatment of 5mg trospium chloride. The patients were randomly divided into three groups. Group 1 received once a day oral therapy of 0.2mg tamsulosin. Group 2 received once a day oral therapy of 30mg nifedipine. Group 3 was used as the control group. All patients took oral medication for 2 weeks, and then we analyzed the stone expulsion rate, side effects, and mean numbers of emergency room(ER) visits for pain control.
Results: There were no differences in the 3 groups in stone size, location, age, and sex. The total stone expulsion rate was significantly higher in group 1(84.4%) compared with group 3(60.6%)(p=0.032). Patients with lower ureteral stones in group 1 showed a higher expulsion rate(94.1%) than those of group 3(66.7%)(p=0.042). There was no difference in stone expulsion rates between group 2(67.7%) and group 3(60.6%).
Conclusions: These result suggest that adjunctive medical therapy with tamsulosin after an ESWL increased the stone expulsion rate of ureteral stones, especially lower ureteral stones. (Korean J Urol 2008;49:150-154)
키워드
Ureteral stones;Extracorporeal shockwave lithotripsy;Tamsulosin;Nifedipine
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