摘要：目的探讨双J管上移的原因、处理以及预防措施。方法对2006年~2012年我科收治的20例双J管上移患者的临床资料进行回顾性分析。结果19例患者用输尿管镜取出，另1例患者采用开放手术取出，术后随访无远期并发症的发生。双J管上移与导管长度不够、术中置管不当、术后活动等多因素有关。结论目前尚无防止双 J 管上移的根本解决方法，关键在于预防，对易发生移位的术式置管时尤其要仔细。

    关键词：双J管上移；输尿管镜

    Reason and Management of Proximal Double J Ureteral Stent Migration(Report of 20 Cases)

    CHEN Shuang-quan,CHENG Shu-lin,ZHU Ping-yu,LIAO Bo,GONG Zhi-yong

    (Department of Urology, The Affliated Hospital of North Sichuan Medical Colledge, Nanchong 637000,Sichuan,China)

    Abstract：ObjectiveTo summarise the reason,prevention and management of double-J stent placement. MethodsFrom January 2006 to December 2012,tweenty cases with double J ureteral stent migrating proximally in theureter were retrospectively analyzed.Results Nineteen cases withmigrating proximally in theureter were moved by ureteroscopy andone case by open surgery. Nocomplications occurred when the patients were followed up.Proximal migration of a ureteral stent is often caused by technical error or the stent is too short for the ureter .ConclusionMigration can be prevented by choosing appropriate lengthof the stent and proper placement.Ureterscopy is the ideal technique for removal of migrated stents. ......