CAJ | 학술논문

目的：：探讨中晚期妊娠合并肾绞痛患者的治疗及对妊娠结局的影响。方法：对36例中晚期妊娠合并肾绞痛患者临床资料进行统计学分析。结果：36例患者入院后均首先进行保守治疗，其中14患者保守治疗效果差，病情进展，行外科干预治疗；随访表明：无流产发生，早产3例。结论：保守治疗可使大部分妊娠肾绞痛患者得到缓解，间苯三酚、曲马多的应用显示出更好的效果值得推广应用。外科干预治疗以留置双J管为主要治疗方式，但应有明显的手术适应症。适当的外科治疗安全有效。
목적：：탐토중만기임신합병신교통환자적치료급대임신결국적영향。방법：대36례중만기임신합병신교통환자림상자료진행통계학분석。결과：36례환자입원후균수선진행보수치료，기중14환자보수치료효과차，병정진전，행외과간예치료；수방표명：무유산발생，조산3례。결론：보수치료가사대부분임신신교통환자득도완해，간분삼분、곡마다적응용현시출경호적효과치득추엄응용。외과간예치료이류치쌍J관위주요치료방식，단응유명현적수술괄응증。괄당적외과치료안전유효。
Objective:To evaluate the treatment of renal colic during middle and late pregnancy and its effects on pregnancy outcome. Methods:The clinical data of 36 cases of middle-late pregnancy with renal colic were statistically analyzed. Results:36 patients were admitted to hospital for a conservative treatment at first, wherein, 14 patients' disease progressed and were intervened with surgical. Thefollow-up showed that no miscarriage occurred, except 3 cases of premature birth. Conclusions: The conservative treatment can alleviate renal colic during middle and late pregnancy for most patients. The application of phloroglucinol and tramadol shows a better effect and is worth popularization and application. Surgical intervention with indwelling double J tube is ued as the main treatment method, but shouldhave clear indications for the surgery. The appropriate surgical treatment is safe and effective.