孕期输尿管结石并肾绞痛的输尿管镜腔内置双J管疗效分析

目的：评估输尿管镜腔内置双 J 管术治疗孕期输尿管结石并肾绞痛的疗效及安全性。方法对58例经保守治疗无效的孕期输尿管结石并肾绞痛患者行输尿管镜腔内置双 J 管术，观察手术疗效及安全性。结果所有患者置入双 J 管后肾绞痛症状均缓解；58例双 J 管留置时间3～8个月，术后复查泌尿系彩色多普勒超声检查发现结石自行排出后拔除双 J 管14例；留置双 J 管至分娩后1个月行输尿管镜碎石取石术26例、行体外震波碎石术18例。58例均顺利足月分娩，新生儿均健康，无因肾绞痛而发生流产、早产等不良事件。结论输尿管镜腔内置双 J 管术治疗孕期输尿管结石并肾绞痛疗效好，且安全。

Treatment of renal colic complicated with ureteral calculi by ureteroscope double-J stent insertion dur-ing pregnancy

Objective To evaluate the efficacy and safety of double-J stent insertion in treatment of persistent renal colic in pregnant women with ureteral calculi.Methods Fifty-eight pregnant women with per-sistent renal colic who were failed in antispasmodics and analgesics therapy due to ureteral calculi underwent double-J stent placement.The efficacy and safety were evaluated.Results Renal colic was alleviated after double-J stent insertion in all patients.The indwelling time of double-J stent ranged from 3 to 8 months.In 1 4 cases,ureteral stones were discharged spontaneously and then double-J stents were removed.At one month af-ter delivery,ureteroscopy and holmium laser lithotripsy were performed in 26 patients and extracorporeal shock wave lithotripsy was conducted in 1 8 cases.All patients had normal delivery and gave birth to healthy infants.Conclusions Ureteroscope double-J stent insertion is a safe and efficacious treatment of refractory renal colic complicated with ureteral calculi during pregnancy.