尿路結石の自然排出に関する臨床的研究 --ウロカルンおよび跳躍運動の自然排石に及ぼす効果--

Abstract

単発の尿管結石症患者47例に対しウロカルン6カプセル/日分3後投与するとともにrope skippingを運動療法として取り入れた.1)尿管結石症患者47例のうち38例に自然排石をみた.2)結石サイズ別排石率は小結石で85.2%, 中結石で72.2%, 大結石で77.8%と大結石の排石率が他の報告にくらべ著明に高かった.存在部位別では下部尿管と上部尿管とで排石率に有意差はなかった.3)排石期間については, 小, 中結石ではいずれも南らの予測値を上回り早く排石する傾向にあったが, 大結石についても6ヵ月以内に85.7%という高い予測値が得られ, 大結石も6ヵ月は自然排石を待つべきと考えられた.また下部尿管結石の方が上部尿管結石よりも速い時期から排石する傾向を認めた.4) jumping exerciseとしてrope skippingはウロカルンとの併用療法により, とくに大結石において自然排石を促進させるのに有用と考えられた

The effects of Urocalun and jumping exercise upon the passage of calculi were studied. Urocalun was administered to 47 patients with ureteral stones in a dosage of 6 capsules per day and they did jumping rope skipping 50 times twice a day. The size of the calculi was grouped according to the report of Minami et al. Namely the 47 cases were divided into the following groups according to their radiographic shadow; 1) small group (not greater than 0.5 cm in diameter), 27 cases (57.4%); 2) middle-sized group (not greater than 1.0 x 0.6 cm), 11 cases (23.4%); 3) large group (larger than 1.0 x 0.6 cm), 9 cases (19.2%). As a result, the rate of spontaneous passage was 80.9% which was considerably higher than expected. There was spontaneous passage of calculus in 25 cases of small group (85.2%), in 8 cases of middle-sized group (72.7%) and in 7 cases of large group (77.8%). Especially in the large group the rate of passage was higher than described before. On the other hand the period of calculi passage was earlier than that in Minami's report. In the large group 6 of the 7 discharged stones (85.7%) were discharged within six months. Therefore, it must be observed for six months regardless of calculus size with combination therapy if possible. The effects of this prescription on the calculi passage were better than those described on other drugs and Urocalun independently. Then the strict combination therapy of the drug and the exercise was useful for the passage of calculi.