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中华腔镜泌尿外科杂志(电子版) ›› 2017, Vol. 11 ›› Issue (05) : 306 -308. doi: 10.3877/cma.j.issn.1674-3253.2017.05.004

所属专题: 经典病例 文献

临床研究

妊娠期行输尿管镜术治疗输尿管结石56例报告
郁兆存1,(), 杨昌俊1, 黄华生1, 方钟进1, 陈早庆1, 郑哲明1, 邢发枢1   
  1. 1. 523945 东莞,广东医科大学附属东莞市厚街医院
  • 收稿日期:2017-02-21 出版日期:2017-10-01
  • 通信作者: 郁兆存
  • 基金资助:
    东莞市科技局课题(项目编号:2014105101104)

The management of pregnancy with ureteral calculi via ureteroscopy: Report of 56 cases

Zhaocun Yu1,(), Changjun Yang1, Huasheng Huang1, Zhongjin Fang1, Zaoqing Chen1, Zeming Zheng1, Fashu Xing1   

  1. 1. Department of Urology. Dongguan Houjie Affiliated Hospital, Guangdong Medical College, Dongguan 523945, China
  • Received:2017-02-21 Published:2017-10-01
  • Corresponding author: Zhaocun Yu
  • About author:
    Corresponding author: Yu Zhaocun, Email:
引用本文:

郁兆存, 杨昌俊, 黄华生, 方钟进, 陈早庆, 郑哲明, 邢发枢. 妊娠期行输尿管镜术治疗输尿管结石56例报告[J]. 中华腔镜泌尿外科杂志(电子版), 2017, 11(05): 306-308.

Zhaocun Yu, Changjun Yang, Huasheng Huang, Zhongjin Fang, Zaoqing Chen, Zeming Zheng, Fashu Xing. The management of pregnancy with ureteral calculi via ureteroscopy: Report of 56 cases[J]. Chinese Journal of Endourology(Electronic Edition), 2017, 11(05): 306-308.

目的

探讨妊娠期实施输尿管镜下钬激光碎石术的安全性和有效性。

方法

回顾性分析东莞厚街医院2011年8月至2016年5月输尿管镜下钬激光碎石术治疗妊娠合并输尿管结石患者56例的临床资料,围手术期检测血清孕酮和β-人绒毛膜促性腺激素(β-HCG)。

结果

碎石一次性成功49例(87.5%),部分结石碎片上移入肾盂5例(8.9%),入镜碎石失败2例(3.6%),均成功置入4 F双J管。全部患者术后腰腹部疼痛、发热等症状均缓解或消失。术后第一天、第三天血清孕酮和β-HCG测定未见明显减低,未出现胎盘早剥、先兆流产、流产等并发症。

结论

输尿管镜下钬激光碎石术治疗妊娠合并输尿管结石安全、有效,对妊娠的干扰小,值得临床推广应用。

Objective

To explore the effectiveness and safety of holmium laser lithotripsy under ureteroscopy during pregnancy.

Methods

From August 2011 to May 2016, 56 patients with ureteral calculi during pregnancy underwent ureteroscopic lithotripsy with holmium laser , and were inspected the serum progesterone and beta human chorionic gonadotropin (β-HCG) in perioperative period in Dongguan Houjie Affiliated Hospital.

Results

The procedures in 49 cases were sucessful one-time (87.5%), and 5 cases had partial fragments that flowed back to kindey (8.9%). Two cases failed to reach the calculus (3.6%), but the 4 F double J tubes were placed successfully. Lumbar abdominal pain, fever and other symptoms disappeared in all the patients after operation. The serum progesterone and β-HCG didn't decreased on the first day and the third day postoperatively. No placental abruption, threatened abortion, abortion complications were found in all cases.

Conclusion

Ureteroscopic lithotripsy with holmium laser during pregnancy for ureteral calculi is safe, effective, little interference on pregnancy, and worthy of clinical popularization and application.

表1 56例孕妇围手术期血清P及β-HCG检测结果比较(±s
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