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目的:探讨输尿管镜下钬激光碎石术对保守治疗无效的妊娠期输尿管结石的有效性及安全性。方法:回顾性分析因妊娠期输尿管结石住院的、保守治疗无效而采取输尿管镜下钬激光碎石术患者的临床资料,评价该方法的疗效及安全性,并随访观察患者术后及分娩情况。结果:妊娠期输尿管结石患者共43例,15例因保守治疗无效,出现持续疼痛不缓解、持续高热或产科并发症,而行输尿管镜下钬激光碎石术,术后症状均缓解,常规留置内支架管2~4周后拔出。随访患者除1例要求引产外,另14例均顺利生产,婴儿健康。结论:对于保守治疗无效或伴发产科并发症的妊娠期输尿管结石患者,输尿管镜下钬激光碎石术疗效确切,安全性好,在有条件的医院值得推广。
Objective: To investigate the effectiveness and safety of ureteroscopic holmium laser lithotripsy for the treatment of uterine stones during pregnancy. Methods: The clinical data of patients undergoing ureteroscopic holmium laser lithotripsy for hospitalized patients with ureteral calculi during pregnancy were retrospectively analyzed. The efficacy and safety of this method were evaluated. The patients were followed up and observed for postoperative delivery. Results: A total of 43 patients with ureteral calculi in pregnancy, 15 patients due to ineffective conservative treatment, sustained pain did not ease, sustained high fever or obstetric complications, and ureteroscopic holmium laser lithotripsy, postoperative symptoms were relieved, conventional indwelling Remove the stent 2 to 4 weeks later. Follow-up patients in addition to 1 case required induction of labor, the other 14 cases were successfully produced, the baby healthy. Conclusions: Ureteroscopic holmium laser lithotripsy is effective and safe in patients with uterine calculi during pregnancy, which is ineffective in conservative treatment or complicated with obstetric complications. It is worthy of promotion in qualified hospitals.