孕妇输尿管结石合并肾绞痛28例的诊治

Diagnosis and Treatment of Ureteric Calculi Complicated with Nephric Colic during Pregnancy：An Analysis of 28 Cases

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28例输尿管结石合并。肾绞痛孕妇，保守治疗好转25例，3例保守治疗无效者置放输尿管双J管。结果28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25例，体外冲击波碎石（ESWL）治愈3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 28 pregnancy women with ureteric calculi complicated with nephrie colic were reviewed.25 cases were improved by expectant treatment,3 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 25 cases after delivery, and the other 3 cases were cured by extracorporeai shock wave lithotripsy（ESWL）.Conclusion Progesterone injection and magnesium sulfate injection have effectiveness of relaxating smooth muscle and tocolysis.lnserting double-J-catheter for pregnancy women with nephric colic has many advantages such as easy operation,less injury and sure therapeutic effect.