妊娠期输尿管结石并发顽固性肾绞痛的微创治疗  

作　　者：吴文校 马戟 

机构地区：[1]广东海丰市彭湃纪念医院,516400

出　　处：《中国社区医师（医学专业）》2013年第4期192-194,共3页

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。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 perinatalperiod. 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.

关 键 词：妊娠 输尿管结石 肾绞痛 双J管 输尿管镜碎石 

分 类 号：R692.9[医药卫生—泌尿科学]