杨建军,孙发,吴志平
YANG Jianjun,SUN Fa,WU Zhiping

• 1:贵州医科大学附院泌尿外科

摘要(Abstract)：

目的:探讨输尿管镜治疗妊娠期肾绞痛的安全性与有效性。方法:中晚期妊娠合并肾绞痛孕妇86例,非妊娠肾绞痛女患者88例行均行输尿管镜碎石取石术,比较两组肾绞痛患者的取石成功率,观察两组手术患者的术中并发症、术后并发症及残石率。结果:妊娠组及非妊娠患者均顺利完成经输尿管镜治疗及顺利度过围手术期并术后肾绞痛症状消失,其中妊娠组患者术中发生输尿管黏膜损伤形成假道及输尿管黏膜撕脱各1例,术后出现出血、发热残石率分别为3例、1例及5例;非妊娠组患者术中发生输尿管黏膜下损伤形成假道及输尿管黏膜撕脱分别为1例、2例,术后出现出血、发热残石率分别为4例、2例及6例;所观察指标经统计学分析差异均无统计学意义(P>0.05)。结论:中晚期妊娠合并肾绞痛行输尿管镜治疗是一种比较安全有效、创伤、易接受的治疗方法。
Objective: To investigate the safety and efficacy of the treatment of patients with renal colic during pregnancy with ureteroscopy. Methods: 86 cases of middle or late pregnancy women complicated with renal colic in the treatment of ureteroscopy,and 88 cases of non pregnant female patients with renal colic were treated with ureteroscopy. Comparing success rate of stone extraction,and complications during surgical operation,postoperative and residual stone rate were observed. Results:Pregnancy group and non-pregnant patients successfully completed ureteroscopic treatment and went through the perioperative period and two groups patients ' postoperative renal colic symptoms disappeared; 1 case in pregnancy group formed ureteral mucosa damage formation and 1 formed ureteral mucosa avulsion respectively; the number of patients with postoperative hemorrhage,postoperative fever and residue stone rate were 3 cases,1 case and 5 cases respectively. The number of non-pregnancy group patients formed ureteral mucosa damage formation and ureteral mucosa avulsion were 1 case and2 cases respectively,the number of non pregnancy group patients with postoperative appear hemorrhage,postoperative fever and residue stone rate were 4 cases,2 cases and 6 cases respectively. The observed indexes were not statistically significant. Conclusions: The renal colic treated with ureteroscopy is a safe,effective and minimally invasive treatment for middle or late pregnancy women.

关键词(KeyWords)： 妊娠期;肾绞痛;输尿管镜
pregnancy;renal colic;ureteroscopy

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 杨建军,孙发,吴志平
YANG Jianjun,SUN Fa,WU Zhiping

DOI: 10.19367/j.cnki.1000-2707.2016.04.028

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