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目的探讨妊娠期输尿管结石治疗效果。方法 20例妊娠期输尿管结石患者,采用随机数字表法分为观察组和对照组,每组10例,对照组患者予以止痛、抗感染、解痉及解石水化等保守治疗方法 ,观察组患者予以经气压弹道碎石术进行治疗,观察两组患者治疗疗效。结果观察组患者治愈率和总有效率分别为70.00%、90.00%,对照组患者治愈率和总有效率分别为20.00%、70.00%。观察组总有效率略高于对照组,但差异无统计学意义(χ~2=1.2500,P=0.2636>0.05);观察组治愈率明显高于对照组,差异具有统计学意义(χ~2=5.0505,P=0.0246<0.05)。结论输尿管镜气压弹道碎石术治疗妊娠期输尿管结石安全有效,临床应用前景广阔。
Objective To investigate the therapeutic effect of ureteral calculi during pregnancy. Methods Twenty patients with ureteral calculi during pregnancy were randomly divided into observation group (n = 10) and control group (n = 10). Patients in control group were given conservative treatment such as analgesic, anti-infective, Patients were treated by pneumatic lithotripsy and the curative effect of the two groups was observed. Results The cure rate and total effective rate in observation group were 70.00% and 90.00% respectively. The cure rate and total effective rate in control group were 20.00% and 70.00% respectively. The total effective rate in observation group was slightly higher than that in control group, but the difference was not statistically significant (χ ~ 2 = 1.2500, P = 0.2636> 0.05). The cure rate in observation group was significantly higher than that in control group = 5.0505, P = 0.0246 <0.05). Conclusions Ureteroscopic pneumatic lithotripsy is safe and effective in the treatment of ureteral calculi during pregnancy, and has broad prospects for clinical application.