孕妇输尿管结石并肾绞痛的诊治

Diagnosis and treatment of ureteric calculi complicated with nephric colic during pregnancy

目的探讨孕妇输尿管结石并肾绞痛有效的诊断和治疗方法。方法总结26例输尿管结石合并肾绞痛孕妇,保守治疗好转21例,5例保守治疗无效者置放输尿管双J管。结果26例孕妇症状均缓解,均顺利度过围产期。分娩后结石自行排出19例,体外冲击波碎石(ESWL)治愈7例。结论黄体酮、硫酸镁注射液具解痉止痛和保胎双重功效,保守治疗无效者置放输尿管双J管具操作简单、创伤小、疗效确切的优点。

Objective To evaluate the effective methods of diagnosis and therapy of nephric colic in pregnancy women with ureteric calculi. Methods The data of 26 pregnancy women with ureteric calculi complicated with nephric colic were reviewed. 21 cases were improved by expectant treatment. 5 nonresponders were placed with Double - J - catheter. Results Nephric colic was relieved in all cases. They all passed safely the perinatal period. The calculi were eliminated spontaneously in 19 cases after delivery, and the other 7 cases were cured by extracorporeal shock - wave lithotripsy（ESWL）. Conclusion Progesterone injection and magnesium sulfate injection have effectiveness of relaxating smooth muscle and tocolysis. Inserting double - J - catheter forpregnancy women with nephric colic has many advantages such as easy operation, less injury and sure therapeutic effect.