怀孕期间结石的管理:全球实践模式调查
Patrick Juliebø-Jones1,2,3, Michelle J Semins4, Christian Seitz5
1Department of Urology, Haukeland University Hospital, Bergen, Norway.
Journal of endourology
|July 30, 2024
概括
在怀孕期间治疗结石具有挑战性. 一项全球调查显示,实践的差异很大,许多医院缺乏特定的协议,并越来越多地使用CT扫描进行诊断.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 产科和妇科 产科和妇科
- 医疗成像医学成像
背景情况:
- 怀孕期间结石是不常见的,但复杂的紧急情况.
- 现有的文献缺乏关于当前对孕妇石头疾病的管理实践的全面数据.
- 不同的诊断和治疗方法可能会影响母亲和胎儿的结果.
研究的目的:
- 调查和评估全球实践模式来管理怀孕个体的结石.
- 确定目前在全球使用的诊断和治疗策略.
- 为了强调在管理这种情况时需要标准化的协议.
主要方法:
- 开发了一项19项调查,涵盖人口统计,诊断,成像和管理.
- 该调查通过社交媒体和电子邮件链条在全球范围内进行了分发.
- 总共收集了355个来自医疗保健专业人员的答案.
主要成果:
- 显著多数 (66.2%) 的受访者报告说,没有确立的孕期结石医院协议.
- 超声波是主要的成像选择 (89.9%),但非对比CT越来越多地使用,即使对于模两可的超声波结果 (40.9%).
- 手术干预时间和方法的实践模式,如尿路透镜 (URS),尿路支架和皮肤穿透性利切除术,各有其不同.
结论:
- 在全球范围内,怀孕期间治疗结石的实践模式是高度可变的.
- CT成像的使用正在增长,甚至作为尿路检查的替代方案,用于不明确的超声波结果.
- 显然需要在医疗机构中制定和实施标准化管理协议.
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