CAJ | 학술논문

目的探讨输尿管软镜治疗中晚期妊娠合并症状性结石的可行性与临床疗效.方法回顾性分析中晚期妊娠合并症状性结石16例患者的临床资料,所有患者均解痉、镇痛等保守治疗无效,采用输尿管软镜进行治疗.结果 10例一期成功碎石,3例术中发现为结石性脓肾,单纯放置D-J管引流,1例因结石较大,改行经皮肾穿刺造瘘术.术后症状消失,肾集合系统分离完全消失13例,3例好转.1例合并脓肾的患者再次出现严重感染,拔出D-J管,改行经皮肾穿刺造瘘持续引流.所有患者均足月分娩,无因操作而引起早产、脓毒血症、感染性休克等严重并发症.结论输尿管软镜治疗中晚期妊娠合并症状性结石,临床效果较好、手术创伤较小,是一种安全、有效的方法.
목적 탐토수뇨관연경치료중만기임신합병증상성결석적가행성여림상료효.방법 회고성분석중만기임신합병증상성결석16례환자적림상자료,소유환자균해경、진통등보수치료무효,채용수뇨관연경진행치료.결과 10례일기성공쇄석,3례술중발현위결석성농신,단순방치D-J관인류,1례인결석교대,개행경피신천자조루술.술후증상소실,신집합계통분리완전소실13례,3례호전.1례합병농신적환자재차출현엄중감염,발출D-J관,개행경피신천자조루지속인류.소유환자균족월분면,무인조작이인기조산、농독혈증、감염성휴극등엄중병발증.결론 수뇨관연경치료중만기임신합병증상성결석,림상효과교호、수술창상교소,시일충안전、유효적방법.
Objective To explore through flexible ureteroscope in the treatment of middle and late pregnancy complicated with symptomatic gallstone feasibility and clinical efficacy.Methods Retrospectively analyzed the clinical data of middle and late pregnancy patients with symptoms of calculi:all patients were performed antispasmodic,analgesic and other conservative treatments,through flexible ureteroscope for treatment.Results Ten cases of success found in gravel,3 cases performed surgery for calculous pyonephrosis simply place the D-J tube drainage,1 case due to larger stones,but changed to percutaneous renal puncture and fistulation.Symptoms disappeared after surgery,13 cases of separation disappeared completely and 3 cases renal collecting system improved.One case of severe infection complicated with pyonephrosis appeared again,pull the D-J tube,but changed to percutaneous renal puncture nephrostomy drainage.All patients were term delivery and not due to operation resulting from prematurity,sepsis,septic shock and other serious complications.Conclusion Through flexible ureteroscope in the treatment of middle and late pregnancy complicated with symptomatic gallstone is a safe and effective way with better clinical effects,less surgical trauma.