Carringer M, Swartz R, Johansson J E
Department of Urology, Orebro Medical Centre, Sweden.
Br J Urol. 1996 Jan;77(1):17-20. doi: 10.1046/j.1464-410x.1996.08433.x.
To evaluate the efficacy and safety of ureteric stone treatment by ureteroscopy and laser lithotripsy during pregnancy.
Four pregnant women (mean age 29.5 years, range 27-35) with five episodes of ureteric stones were treated by ureteroscopy and laser lithotripsy when the fetus was at 26-35 weeks of gestation. The stones (between 5 and 16 mm in diameter) were located in the proximal (one) or distal ureter (four).
All five stones were removed successfully by ureteroscopy and laser lithotripsy. The operating time varied between 15 and 70 min. In two of the five cases, topical anaesthesia was adequate and in no case was fluoroscopy necessary. No complications occurred that could be related to the procedure.
Ureteroscopy and laser lithotripsy seem, in experienced hands, to be a safe and reliable method in the treatment of ureteric calculi during pregnancy. Most cases can be treated without using fluoroscopy and in some cases the operation can be performed under local anaesthesia.
评估输尿管镜检查及激光碎石术治疗妊娠期输尿管结石的疗效和安全性。
4例孕妇（平均年龄29.5岁，范围27 - 35岁）共发生5次输尿管结石发作，于胎儿妊娠26 - 35周时接受输尿管镜检查及激光碎石术治疗。结石直径在5至16毫米之间，位于输尿管上段（1例）或下段（4例）。
所有5枚结石均通过输尿管镜检查及激光碎石术成功取出。手术时间在15至70分钟之间。5例中有2例局部麻醉效果良好，无一例需要荧光透视。未发生与手术相关的并发症。
在经验丰富的医生操作下，输尿管镜检查及激光碎石术似乎是治疗妊娠期输尿管结石的一种安全可靠的方法。大多数病例无需使用荧光透视即可治疗，部分病例可在局部麻醉下进行手术。
