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目的探讨钬激光治疗妊娠期输尿管结石碎石中的有效性及安全性。方法妊娠期输尿管结石患者15例,采取输尿管镜下钬激光碎石术,激光输出功率30～50 W,脉冲频率10～25 Hz,能量1.5～2.0 J。观察钬激光碎石后妊娠和胎儿的影响。结果 15例妊娠期输尿管结石患者,治疗效果满意,术后症状均缓解,1例患者要求引产外,14例患者均顺利生产且婴儿健康。结论钬激光治疗妊娠期输尿管结石疗效确切、安全性好,对于胎儿无明确致畸、致残作用,可在有条件的医院进行推广。
Objective To investigate the efficacy and safety of holmium laser in the treatment of ureteral calculi during pregnancy. Methods Fifteen patients with ureteral calculi during pregnancy underwent ureteroscopic holmium laser lithotripsy. The laser output power was 30-50 W, the pulse frequency was 10-25 Hz, and the energy was 1.5-2.0 J. To observe the effects of holmium laser lithotripsy and fetus. Results 15 cases of patients with ureteral calculi during pregnancy were satisfied with the treatment results and the symptoms were relieved. One patient required induction of labor and 14 patients were well-born and the infant was healthy. Conclusion Holmium laser treatment of ureteral stones during pregnancy accurate and safe, there is no clear teratogenic and disabling effects on the fetus, can be promoted in qualified hospitals.