局麻下经尿道输尿管镜钬激光碎石治疗妊娠合并输尿管结石25例

目的 探讨局麻下输尿管镜治疗妊娠合并输尿管结石安全有效的方法.方法 回顾性分析本院2010年1月至2016年4月收治的局麻下输尿管镜治疗妊娠合并输尿管结石患者25例,其中早孕、中孕、晚孕分别为4、14、7例,平均妊娠期为25周.所有患者均有轻中度肾积水,单侧输尿管结石21例,输尿管结石合并肾结石4例,合并输尿管末端狭窄1例.结果 25例患者经手术治疗,症状明显缓解,无手术并发症,均顺利生产.结论 局麻下经尿道输尿管镜钬激光碎石治疗妊娠合并输尿管结石是一种安全有效的方法.

Treatment of pregnancy with ureteral stone via transurethral ureteroscopy holmiuum laser lithropsy under local anesthesia

Objectives To evaluate the safety and efficacy of transurethral ureteroscopy holmiuum laser lithropsy under local anesthesia for pregnant women with ureteral stone.Methods Clinical data of 25 pregnancy with ureteral stone who were treated with holmium laser endoscopy during January 2010 to April 2016 were retrospectively reviewed.There were 4 cases of early pregnancy,14 cases of middle pregnancy and 7 cases of late pregnancy in the study,and average pregnancy length was 25 weeks.All 25 cases had hydronephrosis.The unilateral ureteral stone,ureteral and renal stone complicated with ureteral stricture was 21,4,1,respectively.Results The symptoms greatly improved,and there was.not any obsretric and urologic complication after surgery.All the pregnant women gave birth to healthy babies.Conclusions Ransurethral ureteroscopy holmiuum laser lithropsy under loeal anesthesia is a safe and effective method for ureteral stone during pregnancy.