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目的探讨保守治疗无效的妊娠期肾绞痛患者腔内治疗处理的安全及有效性。方法妊娠期肾绞痛经保守治疗无效患者26例,5例上段结石及1例未发现结石者行膀胱镜放置双J管治疗,20例中下段结石中14例输尿管镜气压弹道碎石+置管术、6例输尿管镜无法到达行逆行置管。结果 26患者治疗后症状好转,术后4周超声复查17例结石基本排尽,9例结石残留,保留双J管至分娩后治疗,所有患者均至足月妊娠,未出现输尿管穿孔等严重并发症,无早产、流产及死胎发生。结论妊娠期肾绞痛患者保守治疗无效者采用放置双J管或输尿管镜碎石+置管术治疗安全有效。
Objective To investigate the safety and efficacy of endovascular treatment of patients with gestational renal colic who have failed conservative treatment. Methods 26 patients with conservative treatment of renal colic during pregnancy were ineffective, 5 cases of upper calculus and 1 case of stones without cystoscopy were placed double J tube treatment, 20 cases of middle and lower stones in 14 cases of ureteroscopic pneumatic lithotripsy + Tubal surgery, 6 ureteroscopy unreachable line retrograde catheterization. Results After treatment, the symptoms improved in 26 patients. Seven weeks after operation, the stones were almost exhausted, the remaining stones remained in 9 cases, and the double J tube was kept until after delivery. All the patients were treated with full-term pregnancy without any serious complications such as ureter perforation Symptoms, no premature birth, abortion and stillbirth. Conclusion The conservative treatment of patients with renal colic during pregnancy by double J tube or ureteroscopic lithotripsy + catheterization is safe and effective.