怀孕期间尿道镜检查:在挪威的高等医疗中心40多年来取得的成果和经验教训
Patrick Juliebø-Jones1,2, Christian Beisland1,2, Peder Gjengstø1
1Department of Urology, Haukeland University Hospital, Bergen, Norway.
Current urology
|September 11, 2023
概括
尿道透镜 (URS) 是对患有结石的孕妇患者的一种安全手术,大多数病例使用局部麻醉和轻度镇静有效管理,随着时间的推移,改善了结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 产科 产科 产科 产科 产科
- 医疗技术 医疗技术 医学技术
背景情况:
- 在怀孕期间对结石疾病的管理存在独特的挑战.
- 尿路透镜 (URS) 是对持久的侧侧疼痛的关键诊断和治疗选择,结果不明确.
- 本研究研究了40年来URS在孕妇患者的演变和安全性.
研究的目的:
- 研究在孕妇中进行尿路透镜检查 (URS) 的安全性和结果.
- 在40年的时间里,分析URS技术和管理的趋势和改进.
- 评估不同麻醉方法在怀孕期间对URS的有效性.
主要方法:
- 在1984年至2022年期间接受URS的孕妇患者的回顾性分析.
- 收集了麻醉方法,手术时间,住院和并发症的数据.
- 专注于不同十年的变化和结果.
主要成果:
- 在87名孕妇中进行了96次URS手术,其中60%是在第三个三个月.
- 58%的手术使用局部麻醉与轻度镇静,最近十年增加到97%.
- 在过去的十年中,整体并发症率从11%降至6%,其中大多数是轻微的.
结论:
- 在孕妇患者中,可以安全地进行尿路透镜检查 (URS).
- 局部麻醉和轻度镇静是URS在怀孕期间有效的麻醉选择.
- 建立的协议和多学科的护理对于成功的URS服务在怀孕期间至关重要.
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