...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Urological research >Treatment outcomes of semirigid ureterorenoscopy and intracorporeal lithotripsy in pregnant women with obstructive ureteral calculi.
【24h】

Treatment outcomes of semirigid ureterorenoscopy and intracorporeal lithotripsy in pregnant women with obstructive ureteral calculi.

机译：输尿管结石梗阻孕妇的半刚性输尿管镜检查和体内碎石术治疗结果。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The purpose of the study is to evaluate the outcomes of semirigid ureterorenoscopy and intracorporeal lithotripsy as a definitive treatment in pregnant women with obstructive ureteral calculi. A retrospective analysis was performed of 16 pregnant patients referred to gynecology department with ureteral obstruction from 2007 to 2009. The mean age was 25 years, and mean gestation period was 30 weeks. Of the 16 patients; 50% had fever, 100% flank pain, 56% dysuria, 25% gross hematuria, 50% positive urine culture, and 75% pyuria and microscopic hematuria. Abdominal ultrasonography was the principle diagnostic test used. The mean stone size was 9.45 mm. Eleven of the 16 patients, 54% had stones located in the distal ureter and 46% proximal ureter. The stones were fragmented using a swiss pneumatic lithoclast through 9.5 F semirigid ureteroscope by 0.035 mm safety guidewire with the patient under general anesthesia. Eleven patients had obstruction due to the ureteral calculi. Eight of 11 patients had complete fragmentation of the calculi by ureteroscopy as a primary treatment. Push-back was performed in the other three patients. By applying Dj catheter, and performing eswl after giving birth, the patient became stone-free. Dj catheter was applied peroperative to all 16 patients. No complications were recorded, and all patients completed the full term of pregnancy. The results of our study have shown that semirigid ureteroscopy to diagnose ureteral calculi and treat them with intracorporeal pneumatic lithotripsy and ureteral stent insertion, as indicated, is the most efficient and definitive treatment modality in pregnant women.
机译：这项研究的目的是评估半刚性输尿管镜检查和体内碎石术治疗输尿管结石梗阻孕妇的疗效。回顾性分析2007年至2009年转诊至妇科输尿管梗阻的16例孕妇。平均年龄25岁，平均妊娠期30周。在16名患者中; 50％的人发烧，100％的胁腹痛，56％的排尿困难，25％的肉眼血尿，50％的尿液阳性培养以及75％的脓尿和镜下血尿。腹部超声检查是诊断的主要方法。平均石材尺寸为9.45毫米。 16名患者中有11名，其中54％的患者在输尿管远端有结石，近端的输尿管占46％。病人在全身麻醉下，使用瑞士气动碎石机通过9.5 F半刚性输尿管镜通过0.035 mm安全导丝将结石碎裂。 11名患者因输尿管结石而阻塞。 11例患者中有8例通过输尿管镜检查彻底清除了结石。在其他三名患者中进行了推回。通过使用Dj导管，并在分娩后进行针刺，患者无结石。术中将Dj导管应用于所有16例患者。没有并发症的记录，所有患者均已完成整个妊娠期。我们的研究结果表明，如所示，半刚性输尿管镜用于诊断输尿管结石并用体内气压弹道碎石术和输尿管支架置入术是最有效和确定的治疗方式。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号