赵红旗+陈文忠+王丹+苏伟绩

【摘要】 目的 探讨妊娠期输尿管结石治疗效果。方法 20例妊娠期输尿管结石患者， 采用随机数字表法分为观察组和对照组， 每组10例， 对照组患者予以止痛、抗感染、解痉及解石水化等保守治疗方法， 观察组患者予以经气压弹道碎石术进行治疗， 观察两组患者治疗疗效。结果 观察组患者治愈率和总有效率分别为70.00%、90.00%， 对照组患者治愈率和总有效率分别为20.00%、70.00%。观察组总有效率略高于对照组， 但差异无统计学意义（χ2=1.2500， P=0.2636>0.05）；观察组治愈率明显高于对照组， 差异具有统计学意义（χ2=5.0505， P=0.0246<0.05）。结论 输尿管镜气压弹道碎石术治疗妊娠期输尿管结石安全有效， 临床应用前景广阔。

【关键词】 妊娠期；输尿管结石；气压弹道碎石术

DOI：10.14163/j.cnki.11-5547/r.2017.17.021

Treatment and analysis of 20 cases with ureteral calculus in gestation period ZHAO Hong-qi， CHEN Wen-zhong， WANG Dan， et al. Department of Urinary Surgery， Dongguan City Liaobu Hospital， Dongguan 523400， China

【Abstract】 Objective To investigate curative effect for ureteral calculus in gestation period. Methods A total of 20 patients with ureteral calculus in gestation period were randomly divided into observation group and control group， with 10 cases in each group. The control group received conservative therapy by analgesia， anti-infection， spasmolysis， lithotrity and hydration， and the observation group received pneumatic lithotripsy for treatment. Curative effects were observed in the two groups. Results The observation group had cure rate and total effective rate respectively as 70.00% and 90.00%， and the control group had cure rate and total effective rate respectively as 20.00% and 70.00%. The observation group had slightly higher total effective rate than the control group， while their difference had no statistical significance （χ2=1.2500， P=0.2636>0.05）. The observation group had obviously higher cure rate than the control group， and their difference had statistical significance （χ2=5.0505， P=0.0246<0.05）. Conclusion Pneumatic lithotripsy is safe and effective for treating ureteral calculus in gestation period， and this method is promising for further clinical application.

【Key words】 Gestation period； Ureteral calculus； Pneumatic lithotripsy

輸尿管结石是泌尿系统常见疾病， 妊娠期尿路结石在临床中不多见， 常发生于妊娠期中晚期[1]， 输尿管结石常表现为肾绞痛， 对妊娠期妇女而言， 由于孕妇和胎儿生命易受到危害在治疗过程中需同时兼顾， 医患双方将军对妊娠期有创操作有所顾忌， 故对其诊断和治疗较为棘手[2]， 安全有效的治疗方法对妊娠输尿管结石有着重要意义， 本次作者对2012年9月～2016年6月期间本院收治的20例妊娠期输尿管结石患者的治疗进行分析， 现将其结果报告如下。

1 资料与方法

1. 1 一般资料 选取2012年9月～2016年6月期间本院收治的20例妊娠期输尿管结石患者作为本次研究对象， 所有患者均根据临床表现及尿常规、彩色多普勒超声结果确诊为输尿管结石， 采用随机数字表发将所有患者分为观察组和对照组， 每组10例。观察组年龄21～38岁， 平均年龄（……