孕期孕产妇胆固醇囊:病例报告和病例系列的系统审查
Goran Augustin1,2, Ivan Romic3, Iva Miličić4
1Department of Surgery, School of Medicine, University of Zagreb, Zagreb 10000, Croatia.
World journal of gastrointestinal surgery
|September 13, 2023
概括
孕产妇胆固醇囊 (CC) 很少见,但需要立即评估黄和腹痛. 治疗方法有所不同,较大的囊和胆管炎可能会给母亲和胎儿带来并发症.
科学领域:
- 肝胆道手术 肝胆道手术
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 胃肠病学 胃肠病学
背景情况:
- 胆固醇囊 (CC) 是一种罕见的先天性胆道扩张,通常在童年时被诊断出来.
- 怀孕期间母亲的CC非常罕见,缺乏确定的管理准则.
- 潜在的并发症包括囊破裂,胆道阻塞和胆管炎.
研究的目的:
- 系统地审查怀孕期间或产后诊断的孕产妇CC病例.
- 分析临床表现,治疗方式和输送方法.
- 评估这些罕见病例中母亲和胎儿的结果.
主要方法:
- 在主要数据库 (MEDLINE/PubMed,科学网,谷歌学者,Embase) 进行全面的文献搜索.
- 包括案例报告和系列在没有语言或出版年限的情况下.
- 提取和分析97例报告的母性CC病例的数据.
主要成果:
- 腹痛 (81.2%) 和黄 (60.4%) 是最常见的症状.
- 在52.5%的病例中,并发症需要进行干预;34%的怀孕是诱导的.
- 产妇死亡率为7.2%;紧急剖腹产发生在24.7%的病例中.
结论:
- 在患有黄和腹部上部疼痛的孕妇患者中,应考虑母性CC.
- 治疗范围从保守管理到紧急手术和剖腹产.
- 大型CC (>15厘米) 和严重的结肠炎增加风险,需要专门的手术和产科护理.
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