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目的:探讨妊娠期合并顽固性肾绞痛微创治疗的疗效和安全性。方法:2006年7月至2012年6月我院妊娠期合并肾绞痛经保守治疗无效者32例,采用输尿管镜下单纯放置双J管、输尿管镜气压弹道碎石及直接取石治疗。结果:32例患者肾绞痛均缓解,其中6例无结石患者及8例输尿管上段结石患者输尿管镜下单纯放置双J管,5例输尿管下段结石患者直接行输尿管镜取石,其余13例输尿管中下段结石患者行输尿管镜气压弹道碎石;所有患者均顺利度过围产期,无早产、流产。结论:妊娠期合并顽固性肾绞痛患者采用输尿管置管、输尿管镜碎石术等微创处理安全、有效。
Objective: To investigate the efficacy and safety of minimally invasive treatment of intractable renal pain during pregnancy. Methods: From July 2006 to June 2012, 32 cases of pregnancy-induced renal colic were treated conservatively in our hospital. Thirty-two cases underwent ureteroscopy with double J-tube, ureteroscopic pneumatic lithotripsy and direct stone extraction. Results: 32 cases of renal colic were relieved, of which 6 cases of patients without stones and 8 cases of upper ureteral calculi under ureter simple placement of double J tube, 5 cases of lower ureteral calculi directly ureteroscopic stone, the remaining 13 cases of ureter Patients with lower stones underwent ureteroscopic pneumatic lithotripsy; all patients passed perinatal, without premature delivery, abortion. Conclusion: Patients with intractable renal colic during pregnancy are safe and effective in minimally invasive ureteral catheterization and ureteroscopic lithotripsy.