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首页> 外文期刊>Arab Journal of Urology >Double-J ureteric stenting in pregnancy: A single-centre experience from Iraq
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Double-J ureteric stenting in pregnancy: A single-centre experience from Iraq

机译：妊娠双输尿管支架置入术：来自伊拉克的单中心经验

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Objectives To evaluate the safety and effectiveness of ureteric stenting with a JJ stent in pregnant women, to relieve renal obstruction and intractable flank pain. Patients and methods All pregnant patients presenting with intractable flank pain, with or without complications, to a tertiary national teaching hospital in Kurdistan/Iraq, and necessitating ureteric stenting with a JJ stent, were prospectively assessed for this study between March 2008 and March 2010. Results In all, 30 pregnant patients presented with intractable flank pain necessitating JJ ureteric stenting during the 25 months. Intractable flank pain (23 patients, 77%) was the most common indication for ureteric stenting, followed by flank pain with clinical sepsis (six, 20%). All pregnant women had hydronephrosis on ultrasonography (US), and 12 (40%) had evidence of coexisting renal stones on US. All ureteric stents were inserted successfully. The mean (range) indwelling time was 47.4 (3–224) days. Radiologically, 14 (47%) and 15 (50%) had complete resolution of the hydronephrosis on follow-up US in late pregnancy and in the early postnatal period, respectively. Two-thirds of patients had a clinical improvement immediately (15, 50%) and soon after (five, 17%) surgery. Stent encrustation (three, 10%), stent migration (three, 10%) and stent irritation (five, 17%) were reported as complications. The post-natal evaluation confirmed that half the patients had urinary calculus disease. Conclusion Ureteric stenting during pregnancy can be safe, with no intraoperative imaging and even under local anaesthesia. It provides good symptom relief and has a low complication rate. We therefore advocate it as a first-line treatment in pregnant women with therapy-resistant flank pain.
机译：目的评估使用JJ支架输尿管支架对孕妇的安全性和有效性，以减轻肾脏梗阻和顽固的胁腹疼痛。患者和方法在2008年3月至2010年3月之间，对本研究进行了前瞻性评估，评估了所有在库尔德斯坦/伊拉克的三级国立教学医院中出现顽固性胁腹痛，无论有无并发症的孕妇，并需要使用JJ支架置入输尿管。结果总共有30例孕妇出现了顽固的胁腹痛，因此在25个月内必须行JJ输尿管支架置入术。顽固性胁腹痛（23例，占77％）是输尿管支架置入术的最常见指征，其次是伴有临床败血症的胁腹痛（六例，占20％）。所有孕妇均在超声检查中出现肾积水（美国），其中12名（40％）有在美国共存肾结石的证据。所有输尿管支架均已成功插入。平均居住时间为47.4（3–224）天。放射学上，分别在妊娠晚期和产后早期对随访的美国进行了肾积水完全消退的放射治疗（14％（47％）和15％（50％））。三分之二的患者在手术后立即（15％，50％）和不久（5％，17％）获得了临床改善。据报道，支架结壳（3％，10％），支架迁移（3％，10％）和支架刺激（5％，17％）是并发症。产后评估证实，一半的患者患有尿路结石疾病。结论妊娠期输尿管支架置入术安全，无术中影像学检查，即使在局部麻醉下也可。它提供良好的症状缓解，并发症发生率低。因此，我们主张将其作为具有抗治疗性胁腹痛的孕妇的一线治疗。

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