输尿管镜术治疗妊娠期女性肾绞痛  

Ureteroscopy for diagnosis and treatment of renal colic during pregnancy

作　　者：李辉[1] 葛金山[1] 陈文彬[1] 孟宪涛[1] 刘军平[1] 崔书平[1] 

机构地区：[1]中国人民解放军第二六零医院泌尿外科,河北石家庄市050041

出　　处：《微创医学》2008年第3期194-195,共2页Journal of Minimally Invasive Medicine

摘　　要：目的探讨应用输尿管镜探寻妊娠期女性肾绞痛的病因及相应的治疗方法。方法对38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，术中发现有结石34例，其中上段12例，中下段22例，均行钬激光碎石。碎石后留置输尿管导管或双-J管。术中未发现结石，单纯留置双-J管4例。结果38例患者的肾绞痛及发热症状经治疗后完全消失，无输尿管穿孔发生。3例出现先兆流产，经应用抑制宫缩药后症状缓解。1例早产，余37例均顺利生产。7例产后复查仍有上尿路结石，行体外碎石后排出。结论输尿管镜治疗妊娠期女性肾绞痛安全、有效，但仍需注意并发流产、早产的可能。Objective To evaluate the effect of ureteroscope for the diagnosis and treatment of renal colic. Methods 38 pregnant women （gestitational 12 -32 wecks;mean ,27 weeks） with renal colic who failed to respond to conservative treatment were treated by ureterescopy. 34 cases who found calculi in surgeon, 12 cases in upper ureter and 22 cases in middle or lower ureter,were received lithotripsy with homium laser. Double-J catheter or ureteral catheters were indweh for drainage. 4 cases were treated by double-J catheter drainage. Results All the urgent symptoms in 38 cases were relieved after treatment. No ureter perforation occurred. One case has premature and 3 cases had threatened abortion. 37 cases had normal deliver. 7 cases were received ESWL postpartum. Conclusion Ureteroscopy is a safe and effective method for the treatment of rena colic during pregnancy . Abortion and premature delivery should be avoided as far as possible.

关 键 词：肾绞痛 妊娠 输尿管镜 

分 类 号：R714.2[医药卫生—妇产科学] R699[医药卫生—临床医学]