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
pregnancy
ureteral calculi
renal colic
double - J - catheter
ureteroscopic lithotripsy
