输尿管镜弹道碎石术治疗妊娠合并输尿管结石（附52例报告）  

Ureteroscopic pneumatic lithotripsy treating ureter calculi during pregnancy（A report of 52 cases）

作　　者：陈晓东[1] 徐乐[1] 王志峰[1] 蒋杰宏[1] 邱敏捷[1] 黎灿强[1] 姚聪[1] 杨毅[1] 

机构地区：[1]南方医科大学附属何贤纪念医院泌尿外科,广东广州511400

出　　处：《国际泌尿系统杂志》2014年第6期810-813,共4页International Journal of Urology and Nephrology

摘　　要：目的 探讨妊娠合并输尿管结石的诊断和处理方法.方法 回顾分析本院2008年1月-2013年12月采用输尿管硬镜弹道碎石术治疗妊娠合并输尿管结石共52例患者的临床资料.结果 52例患者中,上段结石18例,8例一次性碎石取石成功（44.4％）,10例因输尿管推移、息肉、狭窄等仅放置双J管（55.6％）;下段结石34例均一次性碎石取石成功（100％）.手术时间10 -40min,平均时间23min.术后所有患者腰腹痛、发热等症状消失.1例术后出现先兆早产（1.9％）,经处理后缓解.结论 输尿管镜弹道碎石术治疗妊娠合并输尿管结石安全,损伤小,对输尿管下段结石碎石取石率高,是治疗妊娠期输尿管结石的有效方法之一.Objectives To report our experience in managing ureter calculi during pregnancy.Methods A total of 52 pregnant women with ureteral stones treated with ureteroscopic pneumatic lithotripsy from January 2008 to December 2013 in our hospital were analyzed retrospectively.Results Eighteen patients suffered upper segment ureter stones,and 8 of them were cured with stones successfully fragmented and extracted while the other 10 patients were only treated with double J stents placement because of stone dislocatione,ureteral polyps and stricture.Lower segment ureter stones in 34 patients were successfully fragmented and extracted.Operating time was 10 -40 mins,average operating time was 23 mins.Symptoms such as flank pain and fever relieved.Threatened premature labor occurred in 1 patient post operatively but was well managed with no preterm delivery and no fetal loss.Conclusions Ureteroscopic pneumatic lithotripsy has higher stone free rate in pregnant women with lower segment ureter calculi,may be a safe and effective procedure in treating ureter calculi during pregnancy.

关 键 词：输尿管结石 碎石术 妊娠并发症 输尿管镜检查 

分 类 号：R714.258[医药卫生—妇产科学]