双J管在妊娠合并输尿管结石患者中的应用

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：回顾性分析解放军第11医院2009年6月—2013年12月行膀胱镜下置入双J管治疗的27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：27例手术均成功，无严重并发症出现。置入双J管后27例患者肾绞痛症状均缓解，患者均足月顺利分娩。分娩后复查7例患者结石自行排出，另20例患者行输尿管镜碎石术。随访6～60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，膀胱镜下放置双J管是一种安全、有效的治疗方法。

Application of Double-J Ureteral Stents in Pregnant Women with Ureteral Calculi

Objective：To evaluate the efficacy and safety of the double-J ureteral stents in those pregnant women with ureteral calculi. Methods：The clinical data of 27 pregnant women with ureteral calculi who underwent operation of placing double-J ureteral stents by cystoscope in the 11th Hospital of PLA from June 2009 to December 2013 were retrospectively analyzed. The curative effect and adverse effects were recorded. Results：Of all the 27 cases, surgery was successful without severe complications; renal colic was relieved by placing double-J ureteral stents under cystoscope. All of them successfully had full-term birth. After delivery, the stones were spontaneously eliminated in 7 cases, and removed by ureteroscopic lithotomy in other 20 cases. There were not severe adverse events within 6 to 60 months′ follow-up visiting in all patients. Conclusions：Placing double-J ureteral stents under cystoscope is safe and efficient for those pregnant women with ureteral calculi, if the conservative treatment to eliminate renal colic was unsuccessful.