Delakas D, Karyotis I, Loumbakis P, Daskalopoulos G, Kazanis J, Cranidis A
Department of Urology, University General Hospital of Heraklion, Crete, Greece.
Clin Exp Obstet Gynecol. 2000;27(3-4):200-2.
To access the safety and effectiveness of Double-J-stents in treating symptomatic hydronephrosis during pregnancy.
From 1994 to 1999, 21 women were hospitalized in the Urology Clinic at the University Hospital of Crete. Fourteen patients presented acute pyelonephritis, six painful hydronephrosis and one spontaneous renal rupture. In four cases the hydronephrosis was caused by calculus in the upper 3rd quadrant of the ureters. In 13 out of 14 cases of urinary febrile infection and one with spontaneous renal rupture, the dilatation resulted from direct compression of the ureters by the gravid uterus. Using ultrasound guidance, 21 ureteral stents were successfully placed under local ane- sthesia.
In 14 out of 21 patients with urinary infection, we observed remission of fever during the first 24 hours after the placement of the ureteral stents. In the patient with spontaneous renal rupture the remission of symptoms was observed a few hours after the ureteral drainage. Complications were reported in six cases, such as, voiding symptoms and discomfort.
Double-J-ureteral stenting is an effective, simple and safe method in treating symptomatic hydronephrosis during pregnancy.
评估双J管治疗妊娠期症状性肾积水的安全性和有效性。
1994年至1999年，21名女性在克里特大学医院泌尿外科住院。14例患者表现为急性肾盂肾炎，6例为疼痛性肾积水，1例为自发性肾破裂。4例肾积水由输尿管上三分之一段结石引起。14例尿源性发热感染患者中的13例以及1例自发性肾破裂患者，其肾盂扩张是由妊娠子宫直接压迫输尿管所致。在超声引导下，于局部麻醉下成功置入21根输尿管支架。
21例尿路感染患者中，14例在输尿管支架置入后的头24小时内发热症状缓解。在自发性肾破裂患者中，输尿管引流后数小时症状缓解。报告了6例并发症，如排尿症状和不适。
双J输尿管支架置入术是治疗妊娠期症状性肾积水的一种有效、简单且安全的方法。
