Diagnosis and treatment of renal colic in pregnancy

TNANG Guo-qiang1; ZHANG Rong-rong2; JIANG Dong3; XU Min1; ZHANG Wei-li1

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Diagnosis and treatment of renal colic in pregnancy

更新时间：2024-01-17

- Diagnosis and treatment of renal colic in pregnancy
- Journal of Chongqing Medical University Vol. 36, Issue 12, Pages: 1530-1532(2011)
- 作者机构：
  
  1. 重庆医科大学附属第二医院泌尿外科
  2. 重庆医科大学
  3. 重庆医科大学附属第二医院妇产科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R714.25
- Published：2011，
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[1]唐国强,张融融,蒋冬,徐敏,张唯力.妊娠期肾绞痛的临床诊治[J].重庆医科大学学报,2011,36(12):1530-1532.

TNANG Guo-qiang1, ZHANG Rong-rong2, JIANG Dong3, et al. Diagnosis and treatment of renal colic in pregnancy. [J]. Journal of Chongqing Medical University 36(12):1530-1532(2011)
[1]唐国强,张融融,蒋冬,徐敏,张唯力.妊娠期肾绞痛的临床诊治[J].重庆医科大学学报,2011,36(12):1530-1532. DOI：

TNANG Guo-qiang1, ZHANG Rong-rong2, JIANG Dong3, et al. Diagnosis and treatment of renal colic in pregnancy. [J]. Journal of Chongqing Medical University 36(12):1530-1532(2011) DOI：

摘要

目的:探索妊娠期肾绞痛的病因和治疗方法。方法:对本院90例患者进行回顾性研究

对其临床表现、影像学资料及临床治疗措施的相关性数据进行分析。结果:90例妊娠期肾绞痛患者中79例（87.8%）采用内科保守治疗

结石组患者更多需要外科干预（P<0.05）

7例（7.8%）患者采用输尿管置管

4例（4.4%）输尿管镜术+弹道碎石或取石治疗。所有患者肾绞痛都得到有效缓解

并顺利度过围产期。结论:目前B超是临床首选的诊断方法。妊娠期肾绞痛患者经保守治疗大部分可以获得缓解。对妊娠期顽固性肾绞痛患者采用输尿管置管、输尿管镜术安全、有效。

Abstract

Objective:To evaluate the pathogenesis and effective therapeutic manners for renal colic in pregnancy.Methods:A retrospective review of 90 patients admitted to our institute was carried out.Correlational data on clinical manifestation

diagnostic imaging

and interventions were analyzed.Results:Among the 90 patients

79 cases(87.8%) were treated by conservative measures.The need for surgical treatment was more prevalent in patients with stone(18.9% vs 2.7%

P<0.05).7cases(7.8%) were treated by placing intraureteral double-J-catheter

and 4 cases(4.4%) by placing intraureteral double-J-catheter after ureteroscopic pneumatic lithotripsy or lithotomy.All pregnant women with renal colic were alleviated and delivered of healthy babies

and went through safely perinatal period.Conclusion:Type-B ultrasonic is a preferred manner of clincal diagnosis at present.Most pregnant women with renal colic can be alleviated by non-surgical treatment.Placement of intraureteral double-J-catheter and transurethral ureteroscopy are effective and safe methods for the treatment of refractory renal colic in pregnant period.

关键词

妊娠肾绞痛输尿管镜术

Keywords

pregnancyrenal colicureteroscopy

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重庆医科大学附属第二医院泌尿外科

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