妊娠并发输尿管结石的腔内技术治疗  

Treatment of ureteric calculi during pregnancy by ureteroscopy

作　　者：石汝骥[1] 霍立志[1] 程镇[1] 井汉国[1] 王腾春[1] 闫会秋[1] 周玉霞[1] 

机构地区：[1]聊城市第二人民医院泌尿外科,山东临清252601

出　　处：《临床泌尿外科杂志》2008年第6期453-454,456,共3页Journal of Clinical Urology

摘　　要：目的：探讨妊娠并发输尿管结石安全有效的治疗方法。方法：回顾行分析26例妊娠并发输尿管结石患者的临床资料及治疗经过：患者妊娠11-36周，结石最大径6-14mm；输尿管上段结石6例，中段结石8例，下段结石12例（禽1例双侧输尿管下段结石）。22例通过B超检查明确诊断。行经尿道输尿管镜下气压弹道碎石24例，单纯留置双J管2例。结果：26例患者肾绞痛、发热、无尿等症状均完全消失，结石一次取净者20例；残留结石并发肾结石并6例，留置双J管，于产后行ESWL治疗。未发生流产或早产，无输尿管穿孔等并发症。结论：采用逆行输尿管捕竹或输尿管镜取石术治疗妊娠并发输尿管结石患者安全有效。Objective：To evaluate the safety and efficacy of ureteroscopy for the treatment of ureteric stones during pregnancy. Methods：The clinical data including diagnosis, outcomes of surgery from 26 patients with ureteric calculi during pregnancy by ureteroscopy were analyzed retrospectively. 26 pregnant women with ureteric stones were terated by ureteroscopy when the fetus was at 11-36 weeks of gestation. The ureteric calculi were 6-14 mm in greatest dimension . 6 cases had calculi in upper ureter, 8 in middle ureter and 12 in lower ureter. 24 underwent ureteruseopic lithotripsv;2 case were drained by placing Double-J cathete. Results： All the urgent symp toms in 26 cases were relieved after treatment. The stone free rate of initial treatment was 83.3%（20 of 24）. Six cases with residual stones were treated by Douhle-J catheters, and extracorporeal shock wave lithotripsy （ESWL） was performed successfully in the post partum period. No abortion, premature delivery or complications such as ureter perforation occurred. Conclusions：For pregnant women with ureteric calculi retrograde intra-ureteral cannula and ureteroscopic treatment are safe and effective.

关 键 词：输尿管结石 妊娠 输尿管镜取石术 

分 类 号：R714.1[医药卫生—妇产科学]