妊娠期输尿管结石并发顽固性肾绞痛的微创治疗

【摘要】 目的:探讨妊娠期输尿管结石并发顽固性肾绞痛安全有效的处理方法。方法:收治妊娠期输尿管结石并发肾绞痛经保守治疗无效患者19例,孕8～34周,平均26周。结石最大径5～13mm。输尿管上段结石5例,中段5例,下段9例。中上段结石10例均在膀胱镜下放置双J管,下段结石9例采用输尿管镜气压弹道碎石术击碎结石。结果:18例术后肾绞痛消失;放置双J管患者中有1例患侧腰区轻度疼痛不适,服用解痉药物后缓解,1例间歇肉眼血尿。19例孕妇均顺利度过围产期,并分娩健康婴儿。结论:妊娠期输尿管结石并发顽固性肾绞痛患者采用放置双J管治疗中上段结石和输尿管镜取石术治疗下段结石是安全有效的。更多还原

【Abstract】 Objective:To evaluate the safety and efficacy of management of refractory renal colic due to ureteric calculi during pregnancy.Methods:19 pregnant women(gestational 8～34 weeks;mean,26 weeks)with renal colic due to ureteric calculi failed to respond to conservative treatment.The ureteric calculi were5～13 mm in greatest dimension.5 cases had calculi in upper ureter;5,in middle ureter and 9,in lower ureter.10 cases in upper and middle ureter received intra-ureteral double-J-catheter alone under the cystoscope;9 cases in lower ureter received intra-ureteral double-J-catheter after ureteroscopic pneumatic lithotripsy.Results:Renal colic was relieved in 18 cases after the operation.One case with double-J-catheter alone had mild intermittent renal colic and discomfort in the lumbar,which could be remitted by antispasmodics;One case had intermittent gross hematuria.All the pregnant women were delivered of healthy babies after safe perinatal period.Conclusions:In upper and middle ureteric calculi by retrograde intra-ureteral catheter and in lower ureteric calculi by ureteroscopic pneumatic lithotripsy treatment are safe and effective for pregnant women with refractory renal colic due to ureteric calculi.更多还原