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자료유형
학술저널
저자정보
최태수 (경희대학교) 유구한 (경희대학교) 최승권 (경희대학교) 김동수 (경희대학교) 이동기 (경희대학교) 민경은 (경희대학교) 전승현 (경희대학교) 이형래 (경희대학교) 정인경 (경희대학교)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.56 No.6
발행연도
2015.1
수록면
455 - 460 (6page)

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Purpose: The aim of our study was to evaluate the association of several factors with spontaneous stone expulsion, including ureteralstone characteristics (size, location, hydronephrosis, perinephric stranding), types of medications prescribed (α-blocker, lowdosesteroid), and other possible demographic and health-history factors (gender, age, serum creatinine, underlying diabetes mellitus[DM], and hypertension). Materials and Methods: A total of 366 patients with ureteral stones were enrolled. All patients underwent watchful waitingwithout any invasive procedures. Initial diagnoses of ureteral stones were confirmed by computed tomography scans, which weretaken at approximately 1-month intervals to check for stone expulsion. Univariate and multivariate analyses were conducted toidentify significant factors that contributed to stone expulsion. Results: Among 366 patients, 335 patients (91.5%) experienced spontaneous stone passage during a mean follow-up period of2.95±2.62 weeks. The patients were divided into two groups depending on the success of spontaneous stone passage. Univariateanalyses revealed that stone location (p=0.003), stone size (p=0.021), and underlying DM (p<0.001) were significant predictors ofstone passage. Multivariate analyses confirmed that stone size (p=0.010), stone location (p=0.008), and underlying DM (p=0.003)were independent predictive factors affecting stone passage. Conclusions: Stone size, location, and underlying DM were confirmed to be significant predictive factors for spontaneous passageof ureteral stones. Urologists should consider active procedures, such as shock wave lithotripsy or ureteroscopy, rather than conservativemanagement in patients presenting with proximally located stones, large ureteral stones, or underlying DM.

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