Tamsulosin 0.2 mg의 단기간 투여가 요로결석 배출에 미치는 영향: 다기관, 전향적, 무작위배분에 의한 연구
Effect of Tamsulosin 0.2 mg on the Short-Term Treatment of Urinary Stones: Multicenter, Prospective, Randomized Study
강동일, 조원열, 김태효, 정재민, 박지성, 윤장호, 이상돈,
소속 상세정보
강동일 ( Kang Dong-Il )
인제대학교 의과대학 비뇨기과학교실
조원열 ( Cho Won-Yeol )
동아대학교 의과대학 비뇨기과학교실
김태효 ( Kim Tae-Hyo )
동아대학교 의과대학 비뇨기과학교실
정재민 ( Chung Jae-Min )
고신대학교 의과대학 비뇨기과학교실
박지성 ( Park Ji-Sung )
부산대학교 의과대학 비뇨기과학교실
윤장호 ( Yoon Jang-Ho )
인제대학교 의과대학 비뇨기과학교실
이상돈 ( Lee Sang-Don )
부산대학교 의과대학 비뇨기과학교실
KMID : 0358320090500060586
Abstract
Purpose: We evaluated the effect of tamsulosin for the short-term treatment of urinary stones.
Materials and Methods: Two hundred forty-seven patients who were diagnosed with urinary stones were enrolled in this prospective, randomized multicenter study. The treatment and extracorporeal shock wave lithotripsy (ESWL) group (Group 1, n=115) was given diclofenac sodium 100 mg plus tamsulosin 0.2 mg for 1 week. The control and SWL group (Group 2, n=92) was given diclofenac sodium for 1 week. The treatment and no SWL group (Group 3, n=19) was treated the same as Group 1. The control and no SWL group (Group 4, n=21) was given diclofenac sodium only. Patients in Groups 3 and 4 did not want to take SWL treatment. The size of the stone, expulsion rate according to stone location and ESWL machines, changes in pain score, and distance of stone migration when expulsion of the stone failed were compared among the groups.
Results: There were no differences in the 4 groups in sex or stone size. The stone expulsion rate of lower ureter stones in group 1 (59.6%) was significantly higher than in group 2 (30.8%) (p=0.01). The distance of stone migration in group 3 was longer than that in group 4 (5.63±5.48 cm compared with 0.33±0.68 cm; p=0.002). Although the difference was not significant in the SWL groups, the distance of stone migration in group 1 was longer than that in group 2 (7.08±6.9 cm compared with 5.46±7.4 cm; p＞0.05). There were no significant differences in changes on the pain scale among the groups.
Conclusions: These results suggest that adjunctive medical therapy for 1 week with tamsulosin after SWL increases the stone expulsion rate of lower ureteral stones and increases the distance of stone migration in case of failure of stone expulsion.
키워드
Urinary calculi;Lithotripsy;Tamsulosin
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