Surgery for urinary calculi during pregnancy and report of 26 cases

doi:10.13418/j.issn.1001-165x.2020.01.019

Chinese Journal of Clinical Anatomy ›› 2020, Vol. 38 ›› Issue (1) : 92-96. DOI: 10.13418/j.issn.1001-165x.2020.01.019

ZHANG Ji-qing^{1, 2}, XIA Jian-jun³, ZHU Hui-dong³, YANG Ming³, PENG Qiu-ping³, ZHANG Jun-hui^{1, 2}

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Abstract

Objective To improve clinicians' understanding, clinical diagnosis and treatment of urinary calculi during pregnancy.　Methods　The clinical data of 26 patients with urinary calculi during pregnancy from April 2017 to May 2019 were analyzed retrospectively. Patients’ median age was 29.5 (23~39) years, pregnancy time was 24 (11~33) weeks and stone diameter was 10.5 (5~20) mm. The 19 cases of ureteral stent placement were set on the first operation, 2 cases of percutaneous fistulation, and 5 cases of direct ureteroscopy. Results 5 cases were replaced ureteral stent and till postpartum regularly and 2 cases were changed nephrostomy tube regularly. Definite calculi surgical treatment was successfully performed in 19 cases. Semi-rigid ureteroscopy (URS) was performed in 4 cases, flexible ureteroscopy (FURS) in 6 cases, miniPCNL in 7 cases, microperc in 2 case, respectively. Hospital stay of FURS was shorter than that of miniPCNL , 3（3~5）days vs 5（4~6）days，P<0.05 , while the operation time of miniPCNL was shorter 50 (40~60) min vs 35(30~60) min，P<0.05. There was no major urological and obstetric complications during and after operation. Conclusion Definite calculi treatment can improve the quality of life during pregnancy and avoid reoperation after postpartum.

Key words

Pregnancy / 　Nephrolithiasis / 　Renal colic / 　Ureteroscopy / 　Percutaneous fistulation / Percutaneous nephrolithotomy / 　miniPCNL / 　Microperc

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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 https://doi.org/10.13418/j.issn.1001-165x.2020.01.019

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