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目的探讨孕妇输尿管结石并肾绞痛有效的诊断和治疗方法。方法总结26例输尿管结石合并肾绞痛孕妇,保守治疗好转21例,5例保守治疗无效者置放输尿管双J管。结果26例孕妇症状均缓解,均顺利度过围产期。分娩后结石自行排出19例,体外冲击波碎石(ESWL)治愈7例。结论黄体酮、硫酸镁注射液具解痉止痛和保胎双重功效,保守治疗无效者置放输尿管双J管具操作简单、创伤小、疗效确切的优点。
Objective To investigate the diagnosis and treatment of ureteral calculi and renal colic in pregnant women. Methods: Totally 26 cases of ureteral stones with renal colic were enrolled in this study. Twenty-one cases were cured by conservative treatment, and 5 cases with ureteral double-J tube were placed by conservative treatment. Results The symptoms of 26 pregnant women were relieved, all of which passed perinatal well. After delivery, stones discharged by themselves in 19 cases, extracorporeal shock wave lithotripsy (ESWL) cured in 7 cases. Conclusions Progesterone and magnesium sulfate injection have the effect of antispasmodic analgesia and miscarriage, and the double jugular tube with ureteral placement is ineffective in conservative treatment. It has the advantages of simple operation, small trauma and definite curative effect.