输尿管镜在妊娠期输尿管结石中的应用.pdfVIP

第32卷 黑 龙 江 医 学 Vd．32．No．2 126 2OO8年第2期 HEI I NC JIANC MEDICAL JOURNAI． Eeb．2008 输尿管镜在妊娠期输尿管结石中的应用 汪 勇，王传圣，程华根，聂士富，李 磊 (安徽省六安市中医院，安徽六安237006) 摘要：日曲 探讨应用输尿管镜腔内技术治疗妊娠期输尿管结石的安全性和有效性。方欣 20O4—10 ～ 20O7—02，对8例妊娠合并输尿管结石患者行输尿管镜腔内技术治疗。患者年龄20～29岁，平均25岁。 孕周8～3O周，平均22周。结石最大径7．O～11 innl。输尿管上段结石3例，中段2例，下段3例。患侧轻度 积水5例，中度积水3例。行经尿道输尿管镜下气压弹道碎石7例，输尿管上段结石推至肾盂后留置双J管 1例。结果 8例患者术后肾绞痛消失。结石1次取尽者7例(87．5％)，残留结石1例，留置双J管至分娩 后。8例孕妇均顺利渡过围产期，并产健康婴儿。结论 经尿道输尿管镜腔内技术治疗妊娠合并输尿管结 石安全，有效。 关键词：妊娠；输尿管结石；输尿管镜 学科分类代码：320．274o 中图分类号：R693．4 文献标识码：B 文章编号：1004—5775(2008)02—0126—02 Application of Ureteroscope in Treatment of Ur~eral Calculus in Pregnancy WANG Yong，WAN G Chuan—sheng，CHENG Hua—gen，et al (The TCM Hospital ofLuan City，Liuan 237006，China) Abstract：Objective To discuss the safety and effective of ureteroscope in treatment of ureteral calculus in pregnancy． Methods 8 case8 of such patient were underwent with operation of ureteroscope to remove the ureteral calculus in preg- nancy with age 20～29(mean 25)and pregnant week of 8～30(mean 22 weeks)．The calculus WaS 7～11 r／ira in di— ameter．There were 3 cases at upper segment，2 cases at middle segment and 3 cases at lower set~nent．There were 5 cases with slight hydronephrosis and 3 cases with moderate hydronephrosis．7 cases had removed successfully 1 case had pusl1ed upper．Results The symptoms of pain had disappeared in 7 cases．1 case had rem~n“J”tube to delivery．All pregnancy women had siven birth with safe of children．Conclusion This method might safe and effective for pregnan— cy· Key words：Pregnancy；Ureteral calculus；Ureteroscope 输尿管结石常合并肾绞痛。对妊娠期妇女肾 尿系结石病史。 绞痛的发作不仅会给孕妇带来痛苦，而且会因处理 1．2 手术方法 不当危及胎儿健康。2004—10～2007—02，我们应 采用硬膜外麻醉，截石位。应用Wolf 8．0～ 用输尿管镜腔内技术