| 摘要: |
| ［摘要］ 目的 探讨妊娠期尿石症的诊断和治疗方法。方法 对28例妊娠期尿石症的临床资料及诊治过程进行回顾性分析，结合文献讨论其临床特点和诊疗方法。结果 25例B超检查发现有结石；全部患者均先行保守治疗，但有反复尿路感染并不完全梗阻，肾绞痛反复发作者行膀胱镜逆行置入双J管；输尿管结石合并肾积水患者行经皮肾造瘘；全部患者均足月分娩。结论 妊娠期尿石症的诊断首选B超检查，治疗上以保守治疗为主，不提倡创伤较大的治疗方法，以避免出现流产或早产；出现肾功能损害、尿路感染或保守治疗无效时，应及时进行外科治疗，主要是经膀胱镜逆行置入双J管、经皮肾造瘘和输尿管镜碎石。 |
| 关键词: 妊娠 尿石症 诊断 治疗 |
| DOI：10.3969/j.issn.1674-3806.2009.07.28 |
| 分类号:R 961.4 |
| 基金项目: |
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| Experience on diagnosis and treatment of urolithiasis during pregnancy |
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GU Yong, QING Zhi-ming, JIANG zheng
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Department of Urology, Guangxi Provincial Corps Hospital, Chinese Pelple′s Armed Police Forces, Nanning 530003, China
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| Abstract: |
| ［Abstract］ Objective To investigate the method of diagnosis and management of urolithiasis during pregnancy.Methods The diagnostic procedure and clinical data of 28 pregnant women with urolithiasis were retrospectively analysed.Its clinical characteristic and methtods for diagnosis and management were retrospectively discussed in combination with related literatures.Results Twenty-five cases were diagnosed by ultrasonography at first; all patients were treated with conservative management, double J stent was subsequently placed under monitoring of cystoscopy if recurrence of renal colic or urinary tract infection caused by ureteral obstruction was confirmed; one case of ureterolithiasis complicating with nephrohydrosis was treated by percutaneous nephrostomy(PCN); no obstetric event related to urolithiasis was found.Conclusion Ultrasonograph is recommended as the first choice of diagnosis for urolithiasis during pregnancy. Conservative management is considered as first line treatment while invasive intervention is not advocated to avoid adverse obstetric events. Surgical intervention such as double J stent insertion, PCN or ureteroscopic stone removal is recommended when conservative management failed, renal function injury was detected or urinary tract infection was found. |
| Key words: Pregnancy Urolithiasis Diagnosis Therapeutics |
