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尽管妊娠期间肾结石病的发病率仅约1/1,500,但因麻醉、放射或侵入性处理对母体和胎儿的潜在影响,不能不引起高度重视。本文总结近年来处理孕妇肾结石病的经验。 1985年1月1日～1989年12月31日期间,29例孕妇因尿路结石而住院治疗。年龄17～36岁,其中12例为首次妊娠,7例有尿路结石病史。12例在妊娠中三月,17例在妊末三月。所有病人的主诉都是疼痛。结石部位:输尿管上段7例,下段11例,输尿管肾盂连接部4例,肾盂7例。21例为单个结石,8例为多个结石。结石平均为7.6mm(2～20mm)。处理开始采用保守治疗(镇静镇痛),并有16例经此而成功地排出了结石而不需进一步治疗。其中肾盂结石5例,输尿管肾盂连接部结石2例,输尿管上段结石5例,下段结石4例。自动排出的结石平均6mm(2～11mm)。其余
Although the incidence of kidney stones during pregnancy is only about 1 in 1,500, the potential impact of anesthesia, radiation or invasive treatment on the maternal and fetus must not be given high priority. This article summarizes the experience of treating kidney stones in pregnant women in recent years. Between January 1, 1985 and December 31, 1989, 29 pregnant women were hospitalized for urolithiasis. Aged 17 to 36 years old, of which 12 were the first pregnancy, 7 patients had a history of urinary tract stones. Twelve cases were in the third trimester of pregnancy and 17 in the third trimester of pregnancy. All patients complained of pain. Stones site: the upper ureter in 7 cases, the lower 11 cases, ureteropelvic junction in 4 cases, 7 cases of renal pelvis. 21 cases of a single stone, 8 cases of multiple stones. The average stone is 7.6mm (2 ~ 20mm). Treatment started with conservative treatment (sedation analgesia), and 16 patients successfully discharged stones without further treatment. Among them, 5 cases of renal pelvis, 2 cases of ureteropelvic junctional stones, 5 cases of upper ureteral calculi and 4 cases of lower ureteral calculi. Automatic discharge of stones average 6mm (2 ~ 11mm). the remaining