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妊娠期输尿管结石22例临床治疗与分析

Management and analysis of 22 cases of ureter calculi in pregnancy

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【作者】 张鹏刘成山杜跃军张辉见郑少斌

【Author】 ZHANG Peng LIU Chenshan DU Yuejun ZHANG Huijian ZHENG Shaobin(Department of Urology,Nanfang Hospital,Southern Medical Univeristy,Guangzhou,510515,China)

【机构】 广州市南方医科大学附属南方医院泌尿外科

【摘要】 目的:分析妊娠期输尿管结石治疗方法,总结相关的临床经验。方法:回顾性分析2005~2011年因输尿管结石而入院治疗的22例孕妇的临床资料。结果:18例(81.8%)入院时经超声确诊为输尿管结石,9例患者通过保守治疗后缓解并排出结石,10例通过留置双J管疼痛缓解,3例行输尿管镜下碎石取石术。结论:妊娠期合并输尿管结石患者,利用超声诊断安全可靠,约半数可以通过保守治疗缓解,留置双J管和椎管内麻醉下输尿管镜下碎石取石术亦安全有效。

【Abstract】 Objective:To summarize the treatment of ureter stones during pregnancy.Methods:A retrospective analysis was performed on 22 pregnant women presenting with ureter stone(s) necessitating intervention between 2005 and 2011.Results:18 cases in 22 were confirmed diagnosis by ultrasonography.9 cases were alleviated by medical treatment,and 10 cases underwent D-J stent indwelling,and 3 cases underwent ureteroscopic lithotripsy.Conclusions:Ultrasonography is an effective and safe method for detecting ureter calculi in pregnancy.Approximately half of cases could be alleviated by medical treatment,and D-J stent indwelling or ureteroscopic lithotripsy is also a definitive therapeutic option for pregnant woman requiring surgical intervention.

【关键词】 妊娠输尿管结石输尿管镜
【Key words】 pregnancyureter calculiureteroscopy
  • 【文献出处】 临床泌尿外科杂志 ,Journal of Clinical Urology , 编辑部邮箱 ,2012年05期
  • 【分类号】R714.25
  • 【下载频次】143
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