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

作　　者：张鹏[1] 刘成山[1] 杜跃军[1] 张辉见[1] 郑少斌[1] 

机构地区：[1]广州市南方医科大学附属南方医院泌尿外科,广州510515

出　　处：《临床泌尿外科杂志》2012年第5期360-362,共3页Journal of Clinical Urology

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。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 uhrasonography. 9 cases were alleviated by medical treatment, and 10 cases underwent D-J stent indwelling, and 3 cases underwent ureteroscopic lithotripsy. Conclusions..Uhrasonography is an effective and safe method for detecting ureter calculi in pregnancy. Approxi- mately 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 

分 类 号：R693[医药卫生—泌尿科学]