Clinical Research The Urolithiasis During Pregnancy

Objective:Urine stone syndrome in pregnancy period is not common. Pregnancy period occurred urinary tract stones has must of risk, as kidney colic,infection and the obstruction, are on pregnant women and the fetal development constitute potential of against, paper through on 32 cases pregnancy merged symptoms sex urinary department stones patients of dangerous factors, and clinical features, and treatment method and the mother son ending for research, and discussion pregnancy merged urinary department stones of different points. Shenyang region and 150 cases of calculus of urinary tract calculi complicating pregnancy analysis study on gallstone formation and seasonal factors such as frequency, age, diet, Pregnancy, and for different stones for individualized prevention of urinary calculi.Methods:This retrospective of Shenyang military region general hospital from October 2012 to October 2014 of the 32 cases of Pregnancy complicated with symptomatic urolithiasis patients hospitalization and treatment. And select the general hospital of Shenyang military area command from October 2012 to October 2014 in patients with pregnancy complicated with urinary calculi, conservative treatment, double-j stent implantation (URS), lithotomy under ureteroscope and percutaneous renal puncture fistulization (PCN) was processed to 150 cases of urinary tract calculi, LIIR-20 with stones red spectrum automatic analysis system analysis.150 cases of gallstone formation in patients with seasonal, age, diet, pregnancy and statistical analysis of the number of rows using SPSS 13.0 software data processing, including count data analysis by the method for the determination of X2, P<0.05 said there was significant.Results:After conservative treatment of 23 patients with renal colic symptoms with varying degrees of ease, urinary tract infection is brought under control without further processing.7 patients with refractory renal colic, poor efficacy of conservative treatment, carries double-j stent implantation in 3 cases, symptoms disappear, change the double-j tube every 3 months until after delivery.4 cases of transurethral ureteroscopic stone removal (including 2 cases of double-j stent placement fails,2 cases caused by double-j tubes after placement of persistent discomfort and irritation). 2 cases of pregnancy complicated calculous pyonephrosis percutaneous renal puncture and fistulation. All patients were followed uP to 3 months after childbirth, follow-uP, of which 20 were discharged in late pregnancy stones natural,8 cases in childbirth received surgical removal of stones.32 cases of Patients with symptomatic renal colic symptoms disappear after the treatment, there were no miscarriages, preterm birth, fetal death, perforation and other undesirable consequences.150 patients with stones after analyzing statistics prompted the prevalence of maternal urinary tract stones above the primiparae; and with age, increased prevalence of gallstone; urinary tract calculi complicating pregnancy generally occurs in middle and late pregnancy; incidence is higher in summer and autumn; location, calculus of upper urinary tract stones above the lower urinary tract. Judging from the stones, highest detection rate of calcium oxalate,68.7%, followed by carbonate apatite,44.8%; 79 cases of simple urinary tract calculi,52.7%; 71 cases of mixed stones,47.3%.Conclusion:Pregnant women as a special group, urinary calculi is harmful for pregnant women and fetuses, in addition to reasonable examination and treatment, relapse prevention is very important, for different stones for individualized prevention of urinary calculi is very necessary.