[1]徐遵礼 石格荣 窦维龙 马利英 张前兴 朱建平.两种腔镜术式治疗妊娠合并输尿管结石的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(06):399-402.[doi:10.3877/cma.j.issn.1674-3253.2015.06.003 ]
 Xu Zunli,Shi Gerong,Dou Weilong,et al.Comparision between two transurethral operations in treating pregnant women with ureteral calculi[J].,2015,(06):399-402.[doi:10.3877/cma.j.issn.1674-3253.2015.06.003 ]
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两种腔镜术式治疗妊娠合并输尿管结石的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年06期
页码:
399-402
栏目:
临床研究
出版日期:
2015-12-31

文章信息/Info

Title:
Comparision between two transurethral operations in treating pregnant women with ureteral calculi
作者:
徐遵礼 1石格荣 2窦维龙 2马利英 1张前兴 1朱建平 1
835000 新疆,解放军第11 医院外二科1,外一科2
Author(s):
Xu Zunli1 Shi Gerong2 Dou Weilong2 Ma Liying1 Zhang Qianxing1 Zhu Jianping1.
1.Department of the Second Surgery, 2.Department of the First Surgery, the 11th Hospital of People's Liberation Army, Xinjiang 835000, China
关键词:
输尿管结石妊娠双 J管输尿管镜
DOI:
10.3877/cma.j.issn.1674-3253.2015.06.003
摘要:
目的比较放置双 J管及输尿管镜碎石术治疗妊娠合并输尿管结石患者的临床疗效和安全性。方法回顾性分析解放军第 11医院 2009年 3月至 2014年 5月行经尿道手术治疗的 59例妊娠合并输尿管结石患者的临床资料。31例患者接受膀胱镜下双 J管置入术(组 Ⅰ); 28例患者行输尿管镜碎石术(组 Ⅱ)。比较两组手术时间、手术成功率和术后住院时间等指标并记录不良事件发生情况。结果 59例患者肾绞痛症状均缓解,均足月顺利分娩,没有严重不良事件发生。组Ⅰ手术成功率96.8%(30/31),组Ⅱ为 92.9%(26/28),两者差异无统计学意义( P=0.928)。组Ⅰ手术时间为 9~ 43 min,平均( 23±8)min,组Ⅱ手术时间为 19~52 min,平均( 31±9)min,两者差异有统计学意义( P<0.001)。组 Ⅰ术后住院时间为 2~9 d,平均( 4±2)d,组Ⅱ为 1~5 d,平均( 3±1)d,两者差异有统计学意义( P=0. 040)。结论膀胱镜下放置双 J管和输尿管镜碎石术治疗保守疗法无效的妊娠合并输尿管结石患者均安全、有效。

参考文献/References:

[1] Singh SK, Pawar DS,Griwan MS, et al. Role of tamsulosin in clearance of upper ureteral calculi after extracorporeal shock wave lithotripsy: a randomized controlled trial [J]. J Urol, 2011, 8(1): 14-20.
[2] Semins MJ, Matlaga BR. Kidney stones and pregnancy [J]. Adv Chronic Kidney Dis, 2013, 20(3): 260-264.
[3] 仇世钦, 李培华, 李显红, 等. 经膀胱镜置双J 管治疗妊娠合并中重度肾积水12 例[J]. 山东医药, 2011, 51(34): 109-110.
[4] 石汝骥, 霍立志, 程镇, 等. 妊娠并发输尿管结石的腔内技术治疗[J]. 临床泌尿外科杂志, 2008, 24(6): 453-454, 456.
[5] 孙华宾, 刘雅峰, 刘燕, 等. 腔内微创技术治疗妊娠并发输尿管结石[J]. 中华腔镜泌尿外科杂志: 电子版, 2010, 4(3): 227-229.
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备注/Memo

备注/Memo:
通讯作者:徐遵礼,Email:xuzunli@163.com
更新日期/Last Update: 1900-01-01