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

doi:10.3877/cma.j.issn.1674-3253.2017.05.004

Abstract

Abstract:

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.

Key words: Ureteral calculus, Pregnancy, Ureteroscopy, Progesterone, β-HCG

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.

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References 16

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检测指标	术前	术后第一天	术后第三天
孕酮（μg/L）	⁰⁰⁰47±800	44±9^*⁰	50±6^*⁰⁰⁰⁰⁰
β-HCG（IU/L）	37 528±754	33 470±997^*	36 763±12 478^*

检测指标	术前	术后第一天	术后第三天
孕酮（μg/L）	⁰⁰⁰47±800	44±9^*⁰	50±6^*⁰⁰⁰⁰⁰
β-HCG（IU/L）	37 528±754	33 470±997^*	36 763±12 478^*

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