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首页> 外文期刊>Arab Journal of Urology >Definitive ureteroscopy and intracorporeal lithotripsy in treatment of ureteral calculi during pregnancy
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Definitive ureteroscopy and intracorporeal lithotripsy in treatment of ureteral calculi during pregnancy

机译：确定性输尿管镜检查和体内碎石术治疗妊娠期输尿管结石

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Objective To evaluate the outcome of using semi-rigid ureteroscopy with or without intracorporeal pneumatic lithotripsy vs. temporary ureteric JJ stenting in the management of obstructing ureteric calculi in pregnant women. Patients and methods This prospective comparative study comprised 43 pregnant women with obstructing ureteric calculi. The diagnosis was based on the acute flank pain as the main symptom, microscopic haematuria, and unilateral hydronephrosis on abdominal ultrasonography (US). The patients were randomly divided into two groups; those in group 1 (22 patients) were treated by temporary ureteric JJ stenting until after delivery, and those in group 2 (21) were treated definitively by ureteroscopic stone extraction with intracorporeal pneumatic lithotripsy. Postoperative complications and the degree of patient satisfaction were reported. Results An obstructing ureteric stone was identified by US in 68% and 76% of groups 1 and 2, respectively. In group 1, nine patients had mid-ureteric stones and 13 had stones in the lower ureter. In group 2, seven patients had mid-ureteric stones, whilst the stones were in the distal ureter in 14. No perioperative foetal complications were detected in any group and all patients completed the full term of pregnancy. In group 1, four patients had a postoperative urinary tract infection (UTI), and the JJ stent was exchanged in seven. Two patients in group 2 had a postoperative UTI. Conclusions Definitive ureteroscopy, even with intracorporeal pneumatic lithotripsy, is an effective and safe treatment for pregnant women with obstructing ureteric calculi. It has a better outcome and is more satisfactory for the patients than a temporary JJ stent.
机译：目的评估使用半刚性输尿管镜加或不加体内气压弹道碎石术与临时输尿管JJ支架置入术治疗孕妇输尿管结石的疗效。患者和方法这项前瞻性比较研究包括43名患有输尿管结石阻塞的孕妇。诊断是基于急性侧腹痛为主要症状，镜下血尿和腹部超声检查（美国）单侧肾积水。将患者随机分为两组。第1组（22例）采用临时输尿管JJ支架治疗直至分娩后，第2组（21例）采用输尿管镜下取石并采用体内气压弹道碎石术进行明确治疗。报告了术后并发症和患者满意度。结果US分别在第1组和第2组中发现68％和76％的输尿管结石。在第1组中，有9例患者有输尿管中段结石，有13例输尿管下段结石。在第2组中，有7例有输尿管中段结石，而在14处在输尿管中段结石。在任何一组中均未检测到围手术期胎儿并发症，所有患者均已完成整个妊娠期。在第1组中，有4名患者术后发生了尿路感染（UTI），并且在7名患者中更换了JJ支架。第2组中的两名患者术后UTI。结论明确的输尿管镜检查，即使采用体内气压弹道碎石术，也是治疗输尿管结石阻塞的孕妇的一种安全有效的方法。与临时的JJ支架相比，它具有更好的疗效，对患者更令人满意。

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