CAJ | 학술논문

　　目的：探讨妊娠期合并顽固性肾绞痛微创治疗的疗效和安全性。方法：2006年7月至2012年6月我院妊娠期合并肾绞痛经保守治疗无效者32例，采用输尿管镜下单纯放置双 J 管、输尿管镜气压弹道碎石及直接取石治疗。结果：32例患者肾绞痛均缓解，其中6例无结石患者及8例输尿管上段结石患者输尿管镜下单纯放置双J 管，5例输尿管下段结石患者直接行输尿管镜取石，其余13例输尿管中下段结石患者行输尿管镜气压弹道碎石；所有患者均顺利度过围产期，无早产、流产。结论：妊娠期合并顽固性肾绞痛患者采用输尿管置管、输尿管镜碎石术等微创处理安全、有效。
　　목적：탐토임신기합병완고성신교통미창치료적료효화안전성。방법：2006년7월지2012년6월아원임신기합병신교통경보수치료무효자32례，채용수뇨관경하단순방치쌍 J 관、수뇨관경기압탄도쇄석급직접취석치료。결과：32례환자신교통균완해，기중6례무결석환자급8례수뇨관상단결석환자수뇨관경하단순방치쌍J 관，5례수뇨관하단결석환자직접행수뇨관경취석，기여13례수뇨관중하단결석환자행수뇨관경기압탄도쇄석；소유환자균순리도과위산기，무조산、유산。결론：임신기합병완고성신교통환자채용수뇨관치관、수뇨관경쇄석술등미창처리안전、유효。
Objective: To evaluate the efficacy and safety of minimally invasive management of stubborn renal colic during pregnancy. Methods: 32 pregnant women with renal colic failed to respond to conservative treatment were treated with intra-ureteral double-J cannula alone, ureteroscopic pneumatic lithotripsy or lithotomy from Jul 2006 to Jun 2012. Results:Renal colic was relieved after the operation in all 32 cases. 6 cases without ureteric calculi and 8 patients with calculi in upper ureter received intra-ureteral double-J cannula alone, 5 patients with calculi in lower ureter received ureteroscopic lithotomy and 13 patients with calculi in middle or lower ureter received ureteroscopic pneumatic lithotripsy. No threaten edabortion or premature labor was happened. All cases were labor smoothly and infants were healthy. Conclusion: Placement of intraureteral double-J-catheter and transurethral ureteroscopic pneumatic lithotripsy are effective and safe methods for the treatment of stubborn renal colic during pregnant period.