双J管置入治疗孕期顽固性输尿管结石并肾绞痛的临床体会

Double J Tube in the Treatment of Stubborn Ureteral Calculi and Renal Colic During Pregnancy

目的观察双J管置入治疗孕期顽固性输尿管结石并肾绞痛的临床治疗效果。方法选取2013年1月~2015年5月在我院经保守治疗无效的孕期顽固性输尿管结石并肾绞痛的38例患者行双J管置入治疗,观察患者的临床治疗效果。结果所有患者均顺利完成输尿管镜腔内置双J管术,手术时间在5~10 min,手术中孕妇和胎儿状况良好,肾绞痛症状有缓解。患者出院后行泌尿系统彩超检查,结果显示,38例患者双J管留置时间在3~5个月,通过彩超检查发现结石自行排出后拔管的有9例,留置双J管至分娩后1个月行输尿管镜碎石取石术16例,行体外震波碎石术的有13例,经过产科彩超检查显示,所有胎儿情况良好,无流产等不良事件发生。结论双J管置入治疗孕期顽固性输尿管结石并肾绞痛,治疗效果满意,安全可靠。

Objective To observe the double J tube in treatment of intractable chronic ureteral calculi during pregnancy and the clinical treatment effect of renal colic. Methods Between January 2013 to May 2015, after invalid conservative treatment of intractable chronic ureteral calculi during pregnancy and 38 cases of renal colic patients with double J tube for treatment,then observed the clinical therapeutic effect of patients. Results All patients were successfully completed ureteral lumen built-in double J tube,the operation time was in 5 to 10 min,and pregnant women and fetus was in good condition in the operation. Renal colic symptoms had eased significantly. Patients discharged from hospital after color doppler ultrasound examination,according to the results,38 patients with double J tube indwelling time was between 3 to 5 month. By color doppler ultrasound examination revealed calculi by itself after extubation in 9 cases,indwelling double J tube to 1 month after giving birth to a line of ureteroscopy rubble nephrolithotomy in 16 cases,lines of extracorporeal shock wave lithotripsy in 13 cases. After examination showed that all fetal condition were good,no adverse events such as abortion happened. Conclusion Double J tube placement therapy during pregnancy with refractory ureteral calculi and renal colic,the treatment effect is remarkable,safe and reliable.