中国临床解剖学杂志 ›› 2020, Vol. 38 ›› Issue (1): 92-96.doi: 10.13418/j.issn.1001-165x.2020.01.019
张际青1, 2, 夏建军3, 朱惠东3, 杨明3, 彭秋平3, 张军晖1, 2
收稿日期:
2019-07-21
出版日期:
2020-01-25
发布日期:
2020-02-18
作者简介:
张际青(1975-),男,山东临沂人,博士,副主任医师,从事泌尿系结石、肿瘤排尿功能障碍和男科病等临床治疗,目前进行泌尿系结石与炎症的基础研究及泌尿系结石的微创和综合治疗,E-mail:jqzhang@aliyun.com
ZHANG Ji-qing1, 2, XIA Jian-jun3, ZHU Hui-dong3, YANG Ming3, PENG Qiu-ping3, ZHANG Jun-hui1, 2
Received:
2019-07-21
Online:
2020-01-25
Published:
2020-02-18
摘要: 目的 提高临床医师对孕期泌尿系结石的诊治能力。 方法 回顾性总结2017年4月至2019年5月26例孕期泌尿系结石临床资料。中位年龄29.5(23~39)岁,孕期24(11~33)周,结石直径10.5(5~20)mm。首次手术行输尿管支架置入19例,经皮肾造瘘术2例,直接输尿管镜术5例。 结果 5例定期更换输尿管支架至产后。2例行经皮肾造瘘术并定期更换肾造瘘管至产后。明确结石手术19例,半硬输尿管镜(URS)术4例,输尿管软镜(FURS)术6例,miniPCNL7例,microperc 2例。FURS相较于miniPCNL的住院时间更短,3(3~5)d vs 5(4~6)d,P<0.05,而miniPCNL的手术时间较FURS更短50(40~60)min vs 35(30~60)min,P<0.05。手术均成功,无主要泌尿外科和产科并发症发生。 结论 明确结石治疗具有提高孕期生活质量、避免产后再次手术等优点。
中图分类号:
张际青, 夏建军, 朱惠东, 杨明, 彭秋平, 张军晖. 孕期泌尿系结石的手术治疗(附26例报告)[J]. 中国临床解剖学杂志, 2020, 38(1): 92-96.
ZHANG Ji-qing, XIA Jian-jun, ZHU Hui-dong, YANG Ming, PENG Qiu-ping, ZHANG Jun-hui. Surgery for urinary calculi during pregnancy and report of 26 cases[J]. Chinese Journal of Clinical Anatomy, 2020, 38(1): 92-96.
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