Treatment of pregnancy with ureteral stone via transurethral ureteroscopy holmium laser lithropsy
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摘要: 目的：探讨经尿道输尿管镜钬激光碎石治疗妊娠合并输尿管结石的安全性及疗效。方法：回顾性分析2010年1月~2012年6月处理的妊娠合并输尿管结石患者17例，其中早孕、中孕、晚孕分别为9例、5例、3例，平均妊娠期为22周。单侧输尿管结石14例，输尿管结石合并肾结石2例，双侧输尿管结石1例。17例患者经过积极保守治疗后效果不佳，在连续硬膜外麻醉下行输尿管镜钬激光碎石术，均留置输尿管支架管。结果：17例患者经手术治疗，症状明显缓解，无妇产科及泌尿科相关的手术并发症，均顺利度过妊娠期及围生期，分娩出正常胎儿。待分娩结束后拔出留置的输尿管支架管。结论：妊娠合并输尿管结石患者应接受积极主动的处理；经尿道输尿管镜钬激光碎石术是其安全有效的治疗措施之一。Abstract: Objective: To explore the effect and safety of transurethral ureteroscopy holmium laser lithropsy among pregnancy with ureteral stone.Methods: The retrospective study is performed that is analysis of 17 pregnancy with ureteral stone from January 2010 to June 2012. The first, second and third trimester is 9, 5 and 3 cases, respectively (mean:22 weeks). The unilateral ureteral stone, ureteral and renal stone, bilateral ureteral stone is 14, 2, 1, respectively. The transurethral ureteroscopy holmium laser lithropsy and catheterization of ureteral stent is performed after conservative treatment with poor effect.Results: The symptoms are alleviation, and there is not any obstetric and urologic complication after surgery. All the patients deliver the healthy neonates and ureteral stents are removed after deliverance.Conclusions: Urologists should take effective and positive treatment for pregnancy with ureteral stone, and transurethral ureteroscopy holmium laser lithropsy is one of the safe and effective management.
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Key words:
- ureteral stone /
- transurethral ureteroscopy /
- holmium laser lithropsy /
- pregnancy
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