输尿管镜在妊娠合并输尿管结石处理中的应用  

Ureteroscopy for management of symptomatic ureteral calculi during pregnancy

作　　者：李益坚[1] 杨罗艳[1] 蒋弘毅[1] 赵小昆[1] 

机构地区：[1]中南大学湘雅二医院泌尿外科,湖南长沙410008

出　　处：《中国内镜杂志》2012年第8期858-860,共3页China Journal of Endoscopy

摘　　要：目的评价应用输尿管镜处理妊娠合并有症状输尿管结石的疗效和安全性。方法回顾性分析了17例妊娠合并输尿管结石患者的处理经过。17例患者年龄20～37岁,平均28.2岁;妊娠时间10～30周,平均23.5周;其中输尿管中段结石6例,下段结石11例;结石大小0.6～10.0mm。所有患者都有肾绞痛的典型症状,经保守治疗症状无缓解或者缓解后有反复发作,均在输尿管镜下行钬激光碎石术,术后留置D-J管。结果所有病例术后疼痛均缓解无复发,所有患者足月生产,无外科或产科并发症。结论输尿管镜治疗妊娠合并输尿管结石安全有效,应该可以作为妊娠合并输尿管结石急症的一线治疗。[Objective] To evaluate the safety and efficiency of ureteroscopy as a treatment option for symptomatic ureteral calculi during pregnancy.[Methods] Seventeen pregnant patients with symptomatic ureteral calculi were retrospectively reviewed.Patients were 21 to 37 years old（medium=28.2） and gestation period ranged from 10 to 30 weeks（medium=23.5）.Calculi size ranged from 4 mm to 10 mm.Six cases had calculi in middle ureter and the others had calculi in lower ureter.All patients with typical renal colic could not be relieved by conservation treatment,or relapsing after relieving.Seventeen cases were submitted to a Double-J stent after ureteroscopy holmium laser lithotripsy.[Result] There was complete remission of pain in all cases after ureteroscopy.There were no obstetric or surgical complications due to the procedure and all pregnancies were carried to full time.[Conclusion] Ureteroscopy for management of ureteral calculi during pregnancy is efficient and safe.

关 键 词：输尿管镜 输尿管结石 妊娠 

分 类 号：R693.4[医药卫生—泌尿科学]