妊娠期急性肾绞痛急诊治疗18例报道  

Emergency Treatment of Renal Colic during Pregnancy:a Report of 18 Cases

作　　者：孙敏[1] 刘亮[1] 南玉奎[1] 齐飞波[1] 书星 张志强[1] 姚礼忠 文彬[1] SUN Min;LIU Liang;NAN Yukui;QI Feibo;SHU Xing;ZHANG Zhiqiang;YAO Lizhong;WEN Bin(No.3 Urology Department,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院泌尿中心三科,新疆维吾尔自治区乌鲁木齐市830001

出　　处：《中国全科医学》2018年第29期3636-3638,共3页Chinese General Practice

摘　　要：妊娠期急性肾绞痛严重影响孕妇和胎儿健康,其预防和治疗并无统一规范。本文回顾性分析2011年12月—2017年12月于新疆维吾尔自治区人民医院泌尿中心连续就诊的妊娠期急性肾绞痛18例患者的诊疗过程,患者均经解痉、镇痛、抗感染对症处理,10例患者缓解;保守治疗无效者分别采用经输尿管镜支架置入术(6例)、输尿管镜下输尿管结石碎石术(1例)、经皮肾穿刺造瘘引流术(1例)后症状缓解。分娩健康新生儿17例,死胎1例。药物保守及微创腔镜技术治疗妊娠期急性肾绞痛安全可行,效果良好,个体化治疗妊娠期急性肾绞痛,可提高手术成功率。Renal colic during pregnancy(RCP)seriously affects the health of pregnant women and fetuses.There are no uniform prevention and treatment criteria for RCP.The diagnosis and management of 18 cases of RCP from Urology Department,People's Hospital of Xinjiang Uygur Autonomous Region during December 2011 to December 2017 were studied.All first received conservative drug treatment such as spasm relief,pain relief,anti-inflammation.Then 10 of them were relieved.Eight cases without unsatisfactory response were relieved by procedure later,specifically,6 by Double-J ureteral stenting following ureteroscopy,1 by ureteral lithotripsy with ureteroscopy,and 1 by percutaneous nephrostomy drainage.Seventeen delivered healthy newborns but 1 had stillbirth.Our experience supports that conservative drug treatment and procedures with the minimally invasive endoscopic technique are effective and safe for RCP and personalized treatment can greatly improve the success rate of procedure.

关 键 词：肾绞痛 妊娠 诊断 治疗 

分 类 号：R441.1[医药卫生—诊断学]