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孕妇输尿管结石采用铥光纤激光输尿管镜碎石术:病例报告

Ureteroscopic lithotripsy of ureteric stone using thulium fiber laser in a pregnant patient, case report.

作者信息

Alajmani Lujin B, Rafi Badr, Banjar Rowaa, Alsenani Faisal, Hassan Fadil, Qashgry Abdullah

机构信息

Department of Urology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Saudi Arabia.

King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.

出版信息

Urol Case Rep. 2023 Jun 3;49:102437. doi: 10.1016/j.eucr.2023.102437. eCollection 2023 Jul.

Abstract

Nephrolithiasis represents a common cause of non-obstetrical abdominal pain during pregnancy with 1 out of 200 pregnancies being affected. 20%-30% of patients require ureteroscopy. Many studies were done on safety of holmium:yttrium-aluminium-garnet (YAG) during pregnancy but none on Thulium Fiber Laser (TFL). To our knowledge, this is the first reported case of pregnant patient with nephrolithiasis that was treated using ureteroscopy and TFL. We present a 28 years old pregnant woman that presented to our hospital with a left distal ureteric stone. Patient underwent URS and lithotripsy using TFL. The procedure was tolerated with no complications.

摘要

肾结石是孕期非产科腹痛的常见原因,每200次怀孕中就有1次受影响。20%-30%的患者需要输尿管镜检查。许多研究探讨了钬:钇铝石榴石(YAG)在孕期的安全性,但尚无关于铥光纤激光(TFL)的研究。据我们所知,这是首例报道的使用输尿管镜和TFL治疗的孕期肾结石患者。我们报告一名28岁的孕妇,因左输尿管下段结石前来我院就诊。患者接受了输尿管镜检查及使用TFL的碎石术。该手术耐受良好,无并发症发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/10310900/d8d607d35a40/gr1.jpg

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