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目的讨论和分析输尿管镜下治疗妊娠输尿管结石临床疗效。方法调查分析对象为2011～2012年我院收治的60例妊娠期合并输尿管结石患者,将其随机分为镜下治疗组30例和常规组30例,镜下治疗组实施输尿管镜下碎石或取石方案,常规组实施保守的药物治疗方案,对两组治疗效果进行对比,得出结论。结果镜下治疗组30例妊娠输尿管结石患者结石全部流出,在治疗过程中未出现感染现象及不适反应,患者均不同方式的顺利分娩;常规组中有5例患者结石未流出现象发生,患者在治疗过程中出现剧烈疼痛伴有感染,出现早产和流产现象;对2组患者进行妊娠期结束后5月后复查,镜下治疗组无一例出现复发,常规组有2例结石复发。结论输尿管镜下治疗妊娠期输尿管结石对患者创伤小、安全性较高,与传统的药物保守治疗相比,减小了流产、早产等不良反应的可能,能有效缓解患者的疼痛,因此妊娠期输尿管结石患者行输尿管镜下治疗应得到临床上广泛推广应用。
Objective To discuss and analyze the clinical effect of ureteroscopic treatment of ureteral calculi in pregnancy. Methods The data of 60 pregnant women with ureteral calculi undergoing gestation in our hospital from 2011 to 2012 were randomly divided into 30 cases in the microscopic group and 30 cases in the conventional group. The microsurgical treatment group underwent ureteroscopic lithotripsy Stone program, the conventional group to implement conservative drug treatment programs, the treatment effect of the two groups were compared and concluded. Results All the stones in the ureteral calculi in the microscopic treatment group were completely outflowed. No infection or discomfort reaction occurred in the course of treatment. All patients had different forms of successful delivery. In the conventional group, 5 cases had no outflow of stones, During the course of treatment, severe pain accompanied with infection appeared premature birth and miscarriage. After 2 months of gestation, two groups of patients were reviewed after 5 months of gestation. No recurrence was observed in the treatment group and 2 cases of stone recurrence in the conventional group. Conclusions Ureteroscopic treatment of ureteral calculi in pregnancy has the advantages of less trauma to patients and higher safety. Compared with traditional conservative treatment, it reduces the possibility of adverse reactions such as miscarriage and premature delivery, and can effectively relieve pain in patients. Therefore, during pregnancy Ureteral calculi patients undergoing ureteroscopic treatment should be clinically widely used.