妊娠期输尿管结石的外科治疗

发布时间：2018-05-09 00:39

本文选题：输尿管结石 + 妊娠期　；参考：《中国医科大学学报》2017年05期

【摘要】：目的探讨双J管置入和输尿管镜碎石术对于保守治疗无效的妊娠期输尿管结石的治疗效果。方法回顾性分析中国医科大学附属盛京医院泌尿外科2007年1月至2015年1月收治的保守治疗无效的38例妊娠期输尿管结石患者。根据治疗方法不同分为双J管组(n=21)和输尿管镜组(n=17)。比较2种治疗方法在成功率、并发症、手术时间、治疗总费用、住院时间等方面的差异。结果双J管组成功17例(81.0%)。输尿管镜组成功15例(88.2%)。双J管组并发症发生率(14.3%)较输尿管镜组(11.8%)高。双J管组在手术时间、花费及住院时间方面均较输尿管镜组低(P0.05)。成功施行输尿管镜手术的患者无需进一步治疗,双J管组则需要在孕妇分娩后进一步处理结石。结论输尿管镜手术和置入双J管均为治疗妊娠期输尿管结石的有效方法。输尿管镜手术成功率高,可直接处理结石,而置入双J管简便、快捷,在某些情况具有一定优势。需根据患者的不同情况选择合适的治疗方法。
[Abstract]:Objective to evaluate the efficacy of double J tube placement and ureteroscopic lithotripsy in the treatment of ureteral calculi in pregnancy. Methods from January 2007 to January 2015, 38 cases of ureteral calculi with pregnancy were treated in Shengjing Hospital of China Medical University. The patients were divided into double J tube group (n = 21) and ureteroscope group (n = 17). The difference of success rate, complication, operation time, total cost of treatment and hospital stay were compared between the two methods. Results 17 cases of double J tube group were successful. In ureteroscopy group, 15 cases were successful. The incidence of complications in double J tube group was 14. 3% higher than that in ureteroscope group 11. 8%). The operation time, cost and hospitalization time of double J tube group were lower than that of ureteroscopy group (P 0.05). Successful ureteroscopy patients do not need further treatment, and double J tube groups need further management of stones after delivery. Conclusion ureteroscope and double J tube are effective methods for the treatment of ureteral calculi during pregnancy. Ureteroscopy has a high success rate and can be directly treated with stones, and the placement of double J tubes is simple, quick and has some advantages in some cases. The appropriate treatment should be selected according to the patient's different conditions.
【作者单位】：中国医科大学附属盛京医院泌尿外科;
【分类号】：R714.258

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