摘要
目的:探讨利用微创技术治疗妊娠期输尿管结石合并感染的可行性及临床效果。方法:2006年5月～2010年4月对21例妊娠期输尿管结石合并泌尿系感染患者行微创技术治疗。21例患者孕6～36周,平均24周。结石最大径5～15 mm。左侧输尿管结石9例,右侧12例。输尿管结石上段5例,中段10例,下段6例。尿常规:白细胞++～++++,伴不同程度发热。单纯留置双J管8例,12例采用输尿管镜下钬激光碎石术,1例行经皮肾穿刺造瘘术。结果:所有患者肾绞痛、发热等急症症状经治疗后消失。结石一次性取净12例,留置双J管及肾造瘘管者至分娩后再行微创手术取石。无一例发生先兆流产或早产等,所有患者均顺利生产,婴儿健康。无输尿管穿孔及其他并发症发生。结论:利用微创技术治疗妊娠期输尿管结石合并感染安全有效。
Objective： To evaluate the feasibility and clinical effect of minimally invasive management of ureteric calculi complicated with urinary tract infection during pregnancy. Methods： From May 2006 to April 2010, the data of 21 pregnant women （gestational 6-36 weeks; mean,24weeks ） with ureteric calculi complicated with infection were analyzed retrospectively. The ureteric calculi were 5-15 mm in greatest dimension. Five cases had calculi in upper ureter;10,in middle ureter and 6,in lower ureter. Routine urinary anlysis..WBC ＋ ＋ -＋ 4- 4- ＋. Eight cases received intra-ureteral double-J cannula alone;12 cases received ureteroscopic holmium laser lithotripsy,1 case received percutaneous nephrostomy. Results： Symptoms and signs of renal colic and fever were disappeared completely in all cases after operation. The stones were removed completely one time in 12 cases. Double J tube and nephrostomy tube were placed until post partum. No threaten edabortion or premature labor was happened. All cases were labor smoothly and infants were healthy, All procedures were successful, no ureteral perforation and other complications were found. Conclusions： Minimally invasive technique is a safe and effective method for the treatment of ureteric calculi complicated with urinary tract infection during pregnancy.
出处
《临床泌尿外科杂志》
北大核心
2011年第2期101-102,105,共3页
Journal of Clinical Urology
关键词
结石
妊娠
感染
微创技术
calculi
pregnancy
infection
minimally invasive technique
