在怀孕期间检测结石病的尿道管透镜:文献综述和更新
Sebastian Graf1, Bhaskar K Somani2
1Department of Urology and Andrology, Kepler University Hospital, Linz, Austria.
Current opinion in urology
|September 20, 2023
概括
尿路透镜是怀孕期间结石的安全有效治疗方法. 建议在经验丰富的中心与产科团队进行手术,以最大限度地降低风险.
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
- 内分泌病学 在内分泌病学.
背景情况:
- 尿病 (结石疾病) 的发病率在怀孕期间增加.
- 在孕妇患者中治疗石头疾病带来了独特的挑战.
- 最近的进展为内镜治疗提供了新的治疗选择.
研究的目的:
- 审查关于尿路透镜治疗怀孕患者结石的文献.
- 评估怀孕期间尿路透镜的安全性和有效性.
- 为管理这种疾病的医疗保健专业人员提供指导.
主要方法:
- 发表文献的系统审查.
- 包括从268篇文章的初步选中得到的28项研究.
- 分析了关于不良事件,病例和手术技术的数据.
主要成果:
- 与怀孕期间尿路检查相关的不良事件发生率一般较低.
- 在审查的研究中没有报告严重并发症.
- 较少的病例显示与不良产科事件的反相关性,尽管数据质量有限.
结论:
- 尿路透镜是一种可行且安全的治疗方法,用于怀孕期间的活跃石头管理.
- 程序应在专门的内分泌中心进行.
- 泌尿器科和产科团队之间的密切合作对于最佳结果至关重要.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
10
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
10
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urinary Tract Calculi V: Nursing Management
13
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
13
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
53
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
53
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
11
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
11
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
13
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
13

