导航在怀孕期间症状性水性的复杂性
Baidar Khalabazyane1, Rotimi David2, Rahel Rashid3
1Urology, Royal Bournemouth Hospital, Bournemouth, GBR.
Cureus
|June 28, 2024
概括
由于缺乏指导方针,在怀孕期间对症状性水缩的管理具有挑战性. 本综述探讨了安全的母亲和胎儿结果的诊断和治疗复杂性.
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
- 放射学 放射学是一门学科.
背景情况:
- 怀孕期间的症状性水缩缺乏管理的明确临床指导方针.
- 挑战包括区分生理和病理障碍,以及为母亲和胎儿选择安全的疼痛管理和干预措施.
研究的目的:
- 审查怀孕期间症状性水缩症的诊断和管理复杂性.
- 确定当前临床指南中的差距,并为改善患者护理提供见解.
主要方法:
- 通过PubMed,Embase和Google Scholar进行全面的文献搜索.
- 关键词包括"水", "怀孕中的水", "怀孕中的电离辐射"和"怀孕中的安全止痛".
- 使用Mendeley软件组织的参考文献.
主要成果:
- 诊断成像包括平衡精度与胎儿辐射暴露;超声波是第一线,MRI有文物问题,低剂量CT (<1mGy) 是可以接受的.
- 管理选项包括保守的治疗或干预措施,如皮革瘤切除或尿道支架,在排水变换频率上没有共识.
- 绝对的手术存在争议,通常仅限于怀孕第二季度的专家中心.
结论:
- 对于在怀孕期间管理症状性水缩症的基于共识的临床指导方针有显著的需求.
- 需要进一步的研究,以建立最佳的成像,疼痛管理,干预和随访协议,以确保母亲和胎儿的安全.
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