双J管内引流治疗妊娠期肾积水合并急性肾盂肾炎的体会

目的：评估妊娠期肾积水合并急性肾盂肾炎内引流的治疗效果及安全性。方法：采用经膀胱镜下置入输尿管双J管治疗院外抗生素治疗失败的妊娠期肾积水合并急性肾盂肾炎患者34例。结果：34例全部顺利置人输尿管双J管并保留2～4天，术中和术后无明显并发症，经抗炎治疗后所有患者48h内体温恢复正常，腰痛症状消失。胎儿出生后无畸形、智力障碍及先天性疾病报告。结论：经膀胱镜下逆行置人输尿管双J管具有操作简单、效果满意等优点，可作为临床上妊娠期肾积水合并急性肾盂肾炎单用抗生素治疗无效时的重要辅助治疗手段。

Ureteral Drainage by Double-J-Catheters in Treating Hydronephrosis with Acute Pyelonephritis During Pregnancy

Objective:To evaluate the safety and effectiveness of Double-J-stents in treating hydronephrosis with acute pyelonephritis during pregnancy.Methods:34 cases of hydronephrosis with acute pyelonephritis in pregnancy, whose infection can not be controlled by using antibiotics alone,received internal drainage of ureter with double J stent.Results:Double-J-stents were placed into renal pelvis successfully in all patients and relief of symptoms such as fever and lumbago were observed during the first 48 hours after the treatment with antibiotics.No complication was found in all the cases.Conclusions:Double-J-ureteral stenting is an effective,simple and safe method in treating hydronephrosis with acute pyelonephritis during pregnancy.