【中图分类号】R693.4 【文献标识码】A 【文章编号】1672-3783(2012)02-0062-01

    【摘要】目的:探讨利用输尿管镜微创技术治疗妊娠期输尿管结石合并感染的可行性及临床效果。方法：回顾性分析18例妊娠期输尿管结石合并感染患者应用输尿管镜微创技术治疗的临床资料。结果：所有患者肾绞痛、发热等症状经治疗后消失。17例一次性碎石成功(94.4%)，1例输尿管上段结石因结石上方输尿管扩张明显，碎石时结石上移至肾盂，留置双J管，患者妊娠结束后行体外冲击波碎石治愈。本组无大出血，输尿管穿孔、撕脱等严重并发症，未发生先兆流产或早产等情况。18例均顺利生产，婴儿健康。结论：妊娠期输尿管结石合并感染应尽早选择行微创处理，输尿管镜治疗具有微创、高效、安全的优点，值得推广应用。

    【关键词】输尿管结石；妊娠；感染；输尿管镜

    The Ureteroscopy Treatment on Ureteral Calculi Coinfection during Pregnancy

    HONG Zhan-feng

    【Abstract】Objective: To discuss the feasibility and clinical effect of the minimally invasive technique-ureteroscopy treating on ureteral calculi coinfection during pregnancy. Methods: Retrospectively analyze the clinical data of 18 cases of patients with ureteral calculi coinfection in pregnancy, being treated by the minimally invasive technique-ureteroscopy. Results: Symptoms of renal colic, having fever and etc of all patients disappear after treatment. 17 cases (94.4%) realize the one time successful calculi breaking, and the left one case of upper ureteral calculi generates calculi upper moving to renal pelvis in breaking due to the obvious dilatation of ureter, then placing the double J tube, patient is cured by extracorporeal shock wave lithotripsy after the pregnancy period. This group has no severe complications of massive hemorrhage, ureteral perforation, avulsion, or threatened abortion or premature delivery. All 18 cases of patients have delivered healthy baby successfully. Conclusions: The minimally invasive technique treatment should be earlier adopted at the ureteral calculi coinfection during pregnancy and the ureteroscopy treatment is worth clinical promoting for it has merits of minimal invasion, high efficiency as well as safety. ......