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目的:探讨妊娠合并泌尿系结石的治疗方法。方法:对51例因泌尿系结石入院的患者先给予间苯三酚(40mg,每天2次)止痛解痉;若症状无缓解,给予单纯双J管留置或者硬膜外麻醉下输尿管镜碎石术。结果:23例患者经过保守治疗结石自动排出;28例症状无缓解,12例给予单纯双J管留置(2例结石自动排出,10例产后给予碎石治疗后痊愈),16例给予输尿管镜下钬激光碎石术,术后3周结石完全排出。所有患者治疗期间无产科及泌尿外科相关并发症发生。结论:妊娠合并泌尿系结石,首选保守治疗;若保守治疗无效,双J管留置或者输尿管镜下钬激光碎石术亦是安全有效的治疗措施。
Objective: To investigate the treatment of urolithiasis during pregnancy. Methods: Fifty-one patients admitted with urinary calculi were given phloroglucinol (40mg twice a day) for analgesic and antispasmodic treatment. If the symptoms did not alleviate, ureteroscopic lithotripsy with double J-tube indwelling or epidural anesthesia Surgery. Results: Twenty-three patients were discharged automatically after conservative treatment. No symptoms were relieved in 28 patients. Twelve patients were given double J-tube indwelling (two patients were automatically discharged with calculus and 10 patients recovered after delivery of gravel after delivery), and 16 patients underwent ureteroscopy Holmium laser lithotripsy, 3 weeks after the stone completely discharged. No obstetric and urologic related complications occurred during the treatment of all patients. Conclusion: Pregnancy complicated with urinary stones is the preferred conservative treatment. If conservative treatment is not effective, double J tube indwelling or ureteroscopic holmium laser lithotripsy is also a safe and effective treatment.