双J管在治疗妊娠期输尿管结石的应用与分析

Application and analysis of ureteral calculi with double J tube in pregnancy

目的探讨放置双J管治疗妊娠合并输尿管结石的临床疗效和安全性。方法回顾性分析汉中市中心医院2009年1月至2014年12月行膀胱镜下置入双J管治疗的36例妊娠合并输尿管结石患者的临床资料。观察其疗效并记录不良事件发生情况。结果36例手术均成功，无严重并发症出现。置入双J管后36例患者肾绞痛、肾积水及上尿路感染均缓解，患者均足月顺利分娩。分娩后复查22例患者结石自行排出，另14例患者行体外碎石、输尿管镜钬激光碎石术。随访7～60个月，无严重不良反应发生。结论对于保守疗法无效的妊娠合并输尿管结石患者，发生肾绞痛、肾积水及上尿路感染者，膀胱镜下放置双J管是一种安全、有效的治疗方法。

Objectives To discuss the clinical effect and safety of double J tube in treatment of pregnancy complicated with ureteral calculi. Methods Retrospective analysis of clinical data of 36 cases of pregnancy complicated with ureteral calculi treated with double J tube under the endoscope in the hospital from January 2009 to December 2014 were performed. The curative effect and the occurrence of adverse events were record and observed. Results The operations of 36 patients were successful and no serious complications occurred. 36 patients with renal colic, kidney water and upper urinary tract infection were relieved after implantation of double J tube. Patients were successfully delivered at term. After delivery, 22 cases of patients with stone self discharge, the other 14 cases were treated with extracorporeal lithotripsy and holmium laser lithotripsy. Conclusions For invalid conservative treatment of pregnancy with ureteral calculi, the occurrence of renal colic, kidney water and upper urinary tract infection, double J tube placed under the endoscope is a safe and effective treatment method.