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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。
Objective: To investigate the safety and efficacy of transurethral ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi in pregnancy. Methods: A retrospective analysis of 17 cases of pregnancy complicated with ureteral calculi treated from January 2010 to June 2012, including 9 cases in early pregnancy, 2 cases in middle pregnancy and 3 cases in late pregnancy, the average pregnancy was 22 weeks. Unilateral ureteral calculi in 14 cases, ureteral calculi combined with renal stones in 2 cases, bilateral ureteral calculi in 1 case. 17 patients underwent conservative treatment after the ineffective, under continuous epidural anesthesia, ureteroscopic holmium laser lithotripsy, ureter stent tube were placed. Results: Seventeen patients were surgically treated and the symptoms were relieved. There were no complication related to obstetrics and gynecology and urology. All of the 17 patients passed the pregnancy and perinatal period smoothly and delivered normal fetuses. Pull out the ureteral stent after indwelling childbirth. Conclusion: Patients with pregnancy complicated with ureteral calculi should be treated proactively. Transurethral ureteroscopic holmium laser lithotripsy is one of the safe and effective treatments.