双J管置入治疗妊娠期输尿管结石致顽固性肾绞痛11例报告  

Management of Refractory Renal Colic Due to Ureteral Calculi During Pregnancy by Placing Double-J stent

作　　者：尉春晓[1] 张安学[1] 张建军[1] 于江[1] 陈修德[1] 

机构地区：[1]山东大学附属省立医院泌尿微创中心,山东济南250014

出　　处：《泌尿外科杂志（电子版）》2011年第3期20-23,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的探讨输尿管内双J管置入治疗妊娠期输尿管结石致顽固性肾绞痛的疗效和安全性。方法 2006年9月至2010年8月,对11例妊娠合并输尿管结石致顽固性肾绞痛的患者行输尿管内双J管置入治疗。患者年龄24～31岁,平均27岁,初诊时妊娠20～31周,平均25周。结石最大径6～13mm。患者就诊时均有典型肾绞痛症状,且经过解痉镇痛治疗后疼痛无明显缓解。结果 11例患者置入双J管后肾绞痛症状均消失。2例患者诉间断性患侧腰腹部不适,1周后缓解;1例患者有间歇性肉眼血尿,3天后消失。妊娠期间每2个月更换双J管。11例患者均顺利度过围产期,足月分娩,婴儿健康。结论输尿管内双J管置入治疗妊娠期输尿管结石致顽固性肾绞痛安全有效。Objective To evaluate the efficacy and safety of trentment of refractory renal colic by placing Double-J stent in pregnant women with ureteral calculi. Methods Between September 2006 and August 2010, 11 pregnant women (mean age 27; age range 24～31 weeks) with refractory renal colic due to ureteral calculi were treated by placing Double-J stent. The mean gestation time was 25 weeks (range 20～31 weeks). The ureteral calculi were 6～13 mm in the greatest dimension. All patients presented with typical renal colic which could not be alleviated by antispasmodics and analgesics. Results Renal colic disappeared after the insertion of Double-J stent in all patients. Mild abdominal discomfort occurred in 2 patients which relieved 7 days later. Gross hematuria occurred in 1 patient and disappeared 3 days later. The Double-J stents were replaced every 2 months during pregnancy. All the 11 pregnant women had normal delivery and gave birth to healthy infants. Conclusions Insertion of Double-J stent is safe and effective for the treatment of refractory renal colic due to ureteral calculi during pregnancy.

关 键 词：输尿管结石 妊娠 肾绞痛 双J管 

分 类 号：R714.25[医药卫生—妇产科学]