妊娠合并肾结石或输尿管上段结石的微创治疗

Minimally Invasive Treatment Pregnancy with Kidney Calculus or Upper Ureter Calculus

目的探讨妊娠合并肾结石或输尿管上段结石微创治疗的临床疗效。方法选择2008年2月至2010年2月衡阳市第一人民医院收治的妊娠合并泌尿系结石患者20例的临床资料进行回顾性分析,20例患者均经气压弹道碎石或狄激光碎石。分析治疗效果,评价手术安全性。结果 20例妊娠合并泌尿系结石患者均一次碎石成功,手术时间20～60min。术后住院6～8d,平均7d。术后20例患者疼痛消失,2例患者出现活动后肉眼血尿,拔除双J管后消失,全部患者均未出现流产、胎儿异常,顺利分娩后母婴健康。结论经皮肾镜气压弹道碎石或狄激光碎石治疗妊娠合并肾结石或输尿管上段结石患者,安全有效,手术创伤小,住院时间短,值得临床推广应用。

Objective To investigate clinical efficacy of minimally invasive treatment.of pregnancy with kidney calculus or upper ureter calculus.Methods Clinical data of 20 patients of pregnancy with kidney calculus or ureteral calculus from February 2008 to February 2010 in First People＇s Hospital of Hengyang were retrospectively analyzed.20 patients were confirmed by pneumatic lithotripsy or laser lithotripsy.to analyze treatment effect,and evaluate surgical safety.Results The lithotripsy was successful one time in the 20 patients,operation time was 20-60min,the hospital stay was 6 ~ 8 days,average 7 days.Pain disappeared after surgery in 20 patients,2 cases of patients with gross hematuria after exercise,disappeared after the removal of double J tube.All the patients had no miscarriage,fetal abnormalities,a maternal and child were health after delivery successfully.Conclusion Percutaneous lithotripsy or laser lithotripsy Di treating pregnancy with kidney calculus or upper ureter calculus were safe and effective,Surgical trauma was small,hospital staywas shorter,it is worthy of clinical application.