CAJ | 학술논문

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(40 mg,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。
목적：：탐토임신합병비뇨계결석적치료방법。방법：대51례인비뇨계결석입원적환자선급여간분삼분(40 mg,매천2차)지통해경；약증상무완해,급여단순쌍 J 관류치혹자경막외마취하수뇨관경쇄석술。결과：23례환자경과보수치료결석자동배출；28례증상무완해,12례급여단순쌍 J 관류치(2례결석자동배출,10례산후급여쇄석치료후전유),16례급여수뇨관경하화격광쇄석술,술후3주결석완전배출。소유환자치료기간무산과급비뇨외과상관병발증발생。결론：임신합병비뇨계결석,수선보수치료；약보수치료무효,쌍 J 관류치혹자수뇨관경하화격광쇄석술역시안전유효적치료조시。
Objective:To explore the treatment of of urolithiasis in pregnancy.Methods:51 pregnant women with urinary stone were given the benzene three phenol (40 mg,2 times a day)firstly;if symptoms were not re-lieved,patients were treated with double J tube insertion or ureteroscopic lithotripsy under local anesthesia or contin-ued epidural anesthesia.Results:Twenty-eight cases received conservative therapy which resulted in spontaneous stone expulsion.For patients failed to passage stone spontaneously,ten cases were performed double J tube insertion and 1 6 cases were performed ureteroscopic lithotripsy.There was no complication occurring associated to obstetrics and urology.Conclusions:It is advisable that conservative treatment is preferred to pregnancy associated with urinary calculi.if conservative treatment is invalid,the double J tube insertion or ureteroscopic holmium laser lithotripsy is also safe and effective.