留置双J管治疗妊娠期肾积水合并感染的疗效分析  

Effect Analysis of Indwelling Double J Tube in Treatment of Hydronephrosis with Infection during Pregnancy

作　　者：刘军[1] 肖艳红[1] 梁博[1] 康永明[1] 奉友刚[1] LIU Jun;XIAO Yan-hong;LIANG Bo;KANG Yong-ming;FENG You-gang(Department of Urology,Suining Central Hospital,Suining,Sichuan Province,629000 China)

机构地区：[1]四川省遂宁市中心医院泌尿外科,四川遂宁629000

出　　处：《系统医学》2020年第3期75-77,共3页Systems Medicine

摘　　要：目的探讨留置双J管治疗妊娠期肾积水合并感染的安全性及有效性。方法回顾性分析该科于2013年1月-2017年12月收治的60例妊娠期肾积水合并感染患者的临床资料,保守治疗无效后采用局麻下行输尿管镜下留置双J管,同时联合抗生素抗感染治疗,观察疗效。结果 60例患者双J管置入均顺利,术后复查彩超证实双J管在位。置管后疼痛评分为(2.40±0.70)分,低于治疗前(8.40±1.60)分,差异有统计学意义(t=26.612,P<0.05);置管后肾积水(12.50±2.05)mm,低于置管前(33.50±11.50)mm,差异有统计学意义(t=13.925,P<0.05);置管后血白细胞(8.17±2.24)×10^9/L,低于置管前(18.52±8.11)×10^9/L,差异有统计学意义(t=9.529,P <0.05);置管后尿白细胞(29.85±10.04)个/μL,低于置管前(429.23±98.67)个/μL,差异有统计学意义(t=31.192,P<0.05);置管后体温(36.64±0.22)℃,低于置管前(39.20±0.80)℃,差异有统计学意义(t=23.900,P<0.05)。出院后均顺利生产,未见流产、早产等并发症。结论对于保守治疗无效的妊娠期肾积水合并感染,特别是合并有下尿路梗阻的患者,留置双J管内引流是安全有效的,值得临床应用。Objective To investigate the safety and efficacy of indwelling double J tube in the treatment of hydronephrosis complicated with infection during pregnancy. Methods The clinical data of 60 cases of hydronephrosis complicated with infection during pregnancy from January 2013 to December 2017 were retrospectively analyzed. After ineffective conservative treatment, double J catheter was placed with ureteroscope under local anesthesia and combined with antibiotic anti-infection therapy to observe the curative effect. Results The double J tube was successfully implanted in 60 cases and was confirmed by color doppler ultrasound after operation. After catheterization, the pain score was(2.40±0.70) points,which was lower than(8.40±1.60) points before catheterization. The differences were statistically significant(t=26.612, P <0.05);after catheterization the hydronephrosis was(12.50 ±2.05)mm, which was lower than(33.50±11.50)mm before catheterization. The differences were statistically significant(t=13.925, P<0.05);after catheterization the leukocyte in blood was(8.17±2.24)×10^9/L, which was lower than(18.52±8.11)×10^9/L before catheterization.The differences were statistically significant(t=9.529, P<0.05);after catheterization the leukocyte in urine was(29.85±10.04)pcs/μL, which was lower than(429.23±98.67)pcs/μL before catheterization. The differences were statistically significant(t=31.192, P<0.05);after catheterization the temperature was(36.64±0.22)℃, which was lower than(39.20±0.80)℃ before catheterization. The differences were statistically significant(t=23.900, P<0.05). No complications such as abortion and premature birth were found in all the cases. Conclusions The indwelling double J tube drainage is safe and effective in treating hydronephrosis complicated with infection during pregnancy, especially with the obstruction of the lower urinary tract, which is worthy of clinical application.

关 键 词：肾积水 妊娠 感染 双J管 

分 类 号：R4[医药卫生—临床医学]