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目的探讨妊娠合并输尿管结石的临床治疗方法。方法回顾性分析作者医院2010-12/2012-12月35例妊娠合并输尿管结石患者的临床资料。患者平均年龄为25岁(19~38岁),平均妊娠时间为26周(12~38周)。结果在所有患者中,12例采用了保守治疗,其中8例(22.9%)自发将结石排出,4例(11.4%)症状自发缓解,但未见明显结石排出。另外23例因反复肾绞痛或肾积水加重而采用了手术治疗,其中18例采用了持续硬膜外麻醉下输尿管镜联合气压弹道碎石术或双J管留置术,5例采用了局部麻醉下单纯双J管留置术。术后所有患者均没有出现严重的产科或泌尿系并发症。结论妊娠合并输尿管结石首选保守治疗;保守失败的情况下,输尿管镜下碎石或置管术治疗妊娠期输尿管结石患者安全、有效。
Objective To investigate the clinical treatment of ureteral calculi during pregnancy. Methods The clinical data of 35 patients with pregnancy complicated with ureteral calculi during 2010-12 / 2012-12 in our hospital were retrospectively analyzed. The mean age of patients was 25 years (range, 19-38 years) with an average pregnancy time of 26 weeks (range, 12-38 weeks). Results In all patients, conservative treatment was used in 12 patients. Among them, 8 patients (22.9%) spontaneously discharged stones and 4 patients (11.4%) spontaneous remission, but no obvious stones were discharged. The other 23 cases were treated by repeated renal colic or hydronephrosis with surgical treatment, of which 18 cases underwent continuous epidural anesthesia ureteroscopy combined with pneumatic lithotripsy or double J tube indwelling surgery, 5 cases of local Under anesthesia simple double J tube indwelling surgery. No major obstetric or urological complications occurred in all patients after surgery. Conclusion Pregnancy with ureteral calculi preferred conservative treatment; conservative failure, ureteroscopic lithotripsy or catheterization in the treatment of patients with ureteral stones during pregnancy safe and effective.