摘要
目的探讨应用输尿管镜及气压弹道碎石术治疗妊娠期肾绞痛的安全性及其疗效。方法对34例保守治疗无效的妊娠期肾绞痛患者行输尿管镜检查术,患者妊娠12~32周,平均24周,术中发现有结石30例,其中上段12例,中下段18例,均行气压弹道碎石,碎石后留置D-J管;术中未发现结石患者,单纯留置D-J管4例。结果 34例患者的肾绞痛及发热症状经治疗后完全消失,无输尿管穿孔等并发症发生。结石清除率83.3%(25/30),5例输尿管上段结石冲入肾内,产后行体外碎石后排出。所有患者均顺利度过围产期并产健康婴儿。结论输尿管镜及气压弹道碎石术治疗妊娠期顽固性肾绞痛安全、有效,值得临床应用。
Objective To evaluate the effecacy and safety of ureteroscope and pneumatic lithotripsy for the treatment of renal colic in pregnant women.Methods 34 pregnant women(gestitation 12~32 weeks;mean 24 weeks)with renal colic who failed to respond to conservative treatment were treated with ureteroscopy.30 cases with calculi received pneumatic lithotripsy,12 of which had calculi in upper ureter and 18 in middle or lower ureter.Double-J catheter was indwelt for drainage.4 cases without stones were treated with double-J catheter drainage.Results All urgent symptoms in the 34 cases were relieved after treatment.No complications such as ureterperforation occurred.Stone clearance rate was 83.3%(25/30).All cases had normal delivery.Conclusion Ureteroscopy is safe and effective to renal colic during pregnancy.
出处
《现代泌尿外科杂志》
CAS
2010年第6期443-444,453,共3页
Journal of Modern Urology
关键词
肾绞痛
妊娠
输尿管镜
气压弹道碎石术
renal colic
pregnancy
ureteroscopy
pneumatic lithotripsy