输尿管镜术治疗妊娠期输尿管结石的临床效果观察

Clinical Effect of Ureteroscopy in the Treatment of Ureteral Calculus in Pregnancy

目的:观察输尿管镜术治疗妊娠期输尿管结石的临床效果。方法:选取68例妊娠期输尿管结石的患者,将患者随机分为实验组和对照组,实验组患者采用输尿管镜进行手术治疗,对照组患者视情况采用肾造瘘引流术,或膀胱镜下置管引流术,或传统开放性手术等手术治疗,对比两组患者的手术成功率、手术时间、住院时间、术后并发症发生率。结果:实验组手术时间、住院时间均少于对照组,手术成功率(94.1%)高于对照组(76.4%),术后并发症发生率(0%)少于对照组(14.7%),差异有统计学意义(P<0.05)。结论:输尿管镜术治疗妊娠期输尿管结石手术时间短、术后恢复快、手术成功率高、术后并发症发生率少。

Objective：To observe the clinical effect of ureteroscopy in the treatment of ureteral calculus in pregnancy.Methods：68 cases of ureteral calculus patients in pregnancy were selected and randomly divided into experimental group and control group. Patients in experimental group were given ureteroscopy surgical treatment,and the patients in control group were treated with renal fistula drainage surgery, or catheter drainage surgery under cystoscope, or traditional open surgical treatment according to patients condition. Then compared the success rate of surgery, operative time, hospitalization time, and postoperative complications rate of two groups. Results：The operation time and hospitalization time of experimental group were less than those of control group,the success rate of surgery of experimental group （94.1%） was higher than that of control group （76.4%）, and the postoperative complications rate of experimental group （0%） was less than that of control group （14.7 %）, which the differences were statistically significant （P 〈 0.05）. Conclusion：Ureteroscopy in the treatment of ureteral calculus in pregnancy needs short operative time,with quick recovery, high success rate, and less postoperative complications.