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目的:分析妊娠期输尿管结石治疗方法,总结相关的临床经验。方法:回顾性分析2005～2011年因输尿管结石而入院治疗的22例孕妇的临床资料。结果:18例(81.8%)入院时经超声确诊为输尿管结石,9例患者通过保守治疗后缓解并排出结石,10例通过留置双J管疼痛缓解,3例行输尿管镜下碎石取石术。结论:妊娠期合并输尿管结石患者,利用超声诊断安全可靠,约半数可以通过保守治疗缓解,留置双J管和椎管内麻醉下输尿管镜下碎石取石术亦安全有效。
Objective: To analyze the treatment of ureteral stones in pregnancy and summarize the related clinical experience. Methods: The clinical data of 22 pregnant women hospitalized for ureteral calculi from 2005 to 2011 were analyzed retrospectively. Results: Eighteen patients (81.8%) were diagnosed as ureteral calculi by ultrasound at the time of admission. Nine patients received conservative treatment to relieve and expel the stones. Ten patients were relieved by indwelling double J tube and three patients underwent ureteroscopic lithotripsy. Conclusion: The patients with ureteral calculi during pregnancy are safe and reliable in using ultrasound diagnosis. About half of them can be relieved by conservative treatment. It is also safe and effective to use double J-tube and ureteroscopic lithotripsy under spinal anesthesia.