摘要
目的:探讨妊娠合并输尿管上段结石的诊断和处理方法。方法:采用输尿管镜联合钬激光碎石术治疗妊娠合并输尿管上段结石患者64例。结果:64例患者中,53例一次性碎石取石干净(82.8%),7例结石部分碎片上移入肾盂(10.9%),4例因输尿管扭曲、狭窄等原因上镜失败(3.3%),其中3例置入进口F4.8双J管成功,1例置管失败。1例术后出现先兆流产(1.6%),经处理后缓解。所有患者术后肾绞痛、发热等症状均缓解消失,未发现流产等特殊并发症,疗效满意。结论:输尿管镜联合钬激光碎石术治疗妊娠合并输尿管上段结石一次性碎石率高,并发症少,对孕妇、胎儿影响较小,方法安全有效。
Objective：To explore the effective diagnosis and treatment for pregnant women with Ureteral supe rior segment calculus. Methods：64 pregnant women with Uretcral superior segment calculus underwent Holmium laser lithotripsy through Ureteroscope. Results： Holmium laser lithotripsy was successful for53 cases. Parts ofcaI culus pieces flowed back to kindey for 7 cases; 4 cases can, t Reach the calculus for some reasons. Dublec-J tube was sited successfully for 3, and failure for 1; none had the signs of threatened abortion and the curative efficacy was satisfactory. Conclusions： Holmium laser lithotripsy and Ureteroscope is a safe and effective method for the treatment of Ureteral calculus in pregnant women, especially in superior segment.
出处
《临床泌尿外科杂志》
2013年第6期458-460,共3页
Journal of Clinical Urology
关键词
输尿管上段结石
妊娠
输尿管镜
钬激光碎石术
ureteral superior segment calculus
pregnancy
ureteroscope
holmium laser lithotripsy
