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目的：探索妊娠期合并肾积水伴或不伴感染的原因和治疗方法。方法：58例娠合并肾积水患者中33例采用内科保守治疗，25例采用输尿管镜下输尿管置管，其中2例采用输尿管镜术＋气压弹道碎石的方法治疗。结果：58例中肾绞痛症状均得到缓解，肾盂积水不同程度减少，肾盂感染缓解，治疗后顺利完成妊娠。结论：轻度和中度妊娠期肾积水合并肾绞痛、尿路感染者经保守治疗可以获得缓解。治疗后患者疼痛程度明显下降，差异有统计学意义（P ＜0．05）。妊娠合并肾绞痛反复发作、伴有输尿管结石或重度肾积水的患者采用经输尿管镜输尿管置双 J 管引流术效果良好；输尿管结石妊娠患者输尿管镜弹道碎石效果可靠，生理干扰少，损伤小，对胎儿是比较安全的。“,”Objective:To explore the pregnancy complicated with hydronephrosis with or without cause and treatment of infection.Methods:58 cases of pregnancy complicated with hy-dronephrosis in 33 cases with conservative treatment in the Department of internal medicine,25 cases by Ureteroscope ureter catheter,using the method of ureteroscopy pneumatic lithotripsy in the treatment of +2 cases.Results:in 58 cases of renal colic symptoms were relieved in dif erent degree reduction,hydronephrosis,renal pelvis infections treatment remission,after the suc-cessful completion of pregnancy.Conclusion:mild and moderate hydronephrosis of pregnancy patients with renal colic,urinary tract infection after conservative treatment can obtain remission. Pregnancy associated with recurrent renal colic,associated with ureteral calculi or severe hydronephrosis were treated by ureteroscopy placement of double J ureteral catheter drainage ef ect is good;ureteral calculi patients with pregnancy ureteroscope reliable ef ect,less physical interference,the damage is smal ,is relatively safe for the fetus.