妊娠期并顽固性肾绞痛32例微创治疗分析  

Minimally Invasive Management Analysis of 32 Patients with Stubborn Renal Colic during Pregnancy

作　　者：曹嘉正[1] 庞健[1] 吴荣海[1] 程洲平[1] 林绮平[1] 林伟光[1] 袁丹[1] 徐炜[1] 

机构地区：[1]广东省江门市中心医院泌尿外科,529030

出　　处：《岭南急诊医学杂志》2013年第1期42-43,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨妊娠期合并顽固性肾绞痛微创治疗的疗效和安全性。方法:2006年7月至2012年6月我院妊娠期合并肾绞痛经保守治疗无效者32例,采用输尿管镜下单纯放置双J管、输尿管镜气压弹道碎石及直接取石治疗。结果:32例患者肾绞痛均缓解,其中6例无结石患者及8例输尿管上段结石患者输尿管镜下单纯放置双J管,5例输尿管下段结石患者直接行输尿管镜取石,其余13例输尿管中下段结石患者行输尿管镜气压弹道碎石;所有患者均顺利度过围产期,无早产、流产。结论:妊娠期合并顽固性肾绞痛患者采用输尿管置管、输尿管镜碎石术等微创处理安全、有效。Objective： To evaluate the efficacy and safety of minimally invasive management of stubborn renal colic during pregnancy. Methods： 32 pregnant women with renal colic failed to respond to conservative treatment were treated with intra-ureteral double-J cannula alone, ureteroscopic pneumatic lithotripsy or lithotomy from Jul 2006 to Jun 2012. Results：Renal colic was relieved after the operation in all 32 cases. 6 cases without ureteric calculi and 8 patients with calculi in upper ureter received intra-ureteral double-J cannula alone, 5 patients with calculi in lower ureter received ureteroscopic lithotomy and 13 patients with calculi in middle or lower ureter received ureteroscopic pneumatic lithotripsy. No threaten edabortion or premature labor was happened. All cases were labor smoothly and infants were healthy. Conclusion： Placement of intraureteral double-J-catheter and transurethral ureteroscopic pneumatic lithotripsy are effective and safe methods for the treatment of stubborn renal colic during pregnant period.

关 键 词：妊娠 肾绞痛 输尿管镜术 结石 微创技术 

分 类 号：R714.258[医药卫生—妇产科学]