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目的探讨输尿管镜术在治疗妊娠期输尿管结石的疗效及安全性。方法对22例妊娠期输尿管结石行输尿管镜下气压弹道碎石取石治疗,其中上段结石4例,中段结石6例,下段结石12例。结果 20例一次性碎石成功,成功率为91%,其中输尿管上段结石成功率50%(2/4)、中、下段结石成功率为100%。未出现流产及早产,未出现输尿管穿孔、断裂、菌血症等严重并发症。结论应用输尿管镜气压弹道碎石术治疗妊娠期输尿管结石是安全、有效的。
Objective To investigate the efficacy and safety of ureteroscopy in the treatment of ureteral calculi during pregnancy. Methods Twenty-two cases of ureteral calculi during pregnancy underwent ureteroscopic pneumatic lithotripsy. Among them, there were 4 cases of upper calculus, 6 cases of middle calculus and 12 cases of lower calculus. Results 20 cases of one-time gravel success, the success rate was 91%, of which the success rate of upper ureteral calculi 50% (2/4), the success rate of stones in the lower section of 100%. Abortion and premature delivery did not appear, there is no ureter perforation, rupture, bacteremia and other serious complications. Conclusion The ureteroscopic pneumatic lithotripsy for the treatment of ureteral stones during pregnancy is safe and effective.