妊娠期肾绞痛的临床诊治

Diagnosis and treatment of renal colic in pregnancy

目的:探索妊娠期肾绞痛的病因和治疗方法。方法:对本院90例患者进行回顾性研究,对其临床表现、影像学资料及临床治疗措施的相关性数据进行分析。结果:90例妊娠期肾绞痛患者中79例(87.8%)采用内科保守治疗,结石组患者更多需要外科干预(P<0.05),7例(7.8%)患者采用输尿管置管,4例(4.4%)输尿管镜术+弹道碎石或取石治疗。所有患者肾绞痛都得到有效缓解,并顺利度过围产期。结论:目前B超是临床首选的诊断方法。妊娠期肾绞痛患者经保守治疗大部分可以获得缓解。对妊娠期顽固性肾绞痛患者采用输尿管置管、输尿管镜术安全、有效。

Objective:To evaluate the pathogenesis and effective therapeutic manners for renal colic in pregnancy.Methods:A retrospective review of 90 patients admitted to our institute was carried out.Correlational data on clinical manifestation,diagnostic imaging,and interventions were analyzed.Results:Among the 90 patients,79 cases(87.8%) were treated by conservative measures.The need for surgical treatment was more prevalent in patients with stone(18.9% vs 2.7%,P<0.05).7cases(7.8%) were treated by placing intraureteral double-J-catheter,and 4 cases(4.4%) by placing intraureteral double-J-catheter after ureteroscopic pneumatic lithotripsy or lithotomy.All pregnant women with renal colic were alleviated and delivered of healthy babies,and went through safely perinatal period.Conclusion:Type-B ultrasonic is a preferred manner of clincal diagnosis at present.Most pregnant women with renal colic can be alleviated by non-surgical treatment.Placement of intraureteral double-J-catheter and transurethral ureteroscopy are effective and safe methods for the treatment of refractory renal colic in pregnant period.