Abstract: Objective To research the clinical efficacy of tamsulosin in treatmeng of patients with lower ureteral stones..Methods A total of 82 patients with lower ureteral stones were randomly divided into 2 groups. In the group A, shilingtong was taken by oral with 5 tablets one time and three times a day. In the group B, shilingtong plus tamsulosion were taken by oral and the latter dosage was 0.4 mg one time a day. The lithagogue rate mean lithagogue time and cases of used analgesics were observed. Results In the lithagogue rate, mean lithagogue time and used rate of analgesic hasd significant difference between two groups(P<0.05). Conclusions With troditional lithagogue plus tamsulosion lithagogue treatment, it would elevate lithagogue rate, shorten lithagogue time and reduce incidence of renal colic for low ureteral stones.

摘要： 目的 研究分析坦索罗辛在治疗输尿管下段结石中的临床疗效。方法 82例输尿管下段结石患者随机分为2组，各41例，A组：服用石淋通5片，3次/d；B组：在A组基础上加用坦索罗辛0.4mg，1次/d。观察结石排出率、结石排出天数、使用镇痛剂例数。定期随访2周。结果 A组与B组在结石排出率、平均结石排出时间、镇痛剂使用率等三项指标上均存在显著性差异(P＜0.05)，有统计学意义。结论 在传统保守排石治疗基础上加用坦索罗辛的排石治疗，可以提高输尿管下段结石排出率，缩短排石时间，减少肾绞痛发生率。

关键词: 坦索罗辛, 输尿管下段结石, Tamsulosin, lower ureteral calculi