妊娠期症状性上尿路结石的外科治疗

目的探讨妊娠期症状性上尿路结石的外科治疗手段及疗效。方法对19例复发性严重肾绞痛及梗阻性肾积水合并肾周围炎孕患，首选13F小儿膀胱镜下5F双J管逆插留置，逆插失败者选择输尿管镜手术或患肾造瘘术。结果全部病例疼痛消失无复发，泌尿系感染控制，复查肾积水消失或减轻。6例术后3周内结石自行排出。结论小儿膀胱镜下双J管逆插留置安全有效，是外科治疗复发性严重肾绞痛与梗阻性感染的最佳手段。输尿管镜手术是逆插失败后的选择。

Surgical therapy of symptomatic urolithiasis in pregnancy

Objective] To evaluate surgical instrumentality and curative effect of symptomatic urolithiasis in pregnancy. Methods]19 cases of recurrenced severity renal colic or obstructive renal hudrocele combined with parenephritis were reviewed and evaluated. Initial treatment should be the placement of an Double-J internal stent cystoscopically. Ureteroscopy or percutaneous nephrostomy are secondly options. Results] Ache disappeared with no recurrence and urine tract inflammation controlled in all cases. 6 cases spontaneously pass the calculi within 3 weeks after operation. Conclusions] Being the best method when surgical intervention is necessary, the placement of D-J stent cystoscopically is safe and effective.