怀孕期间阻塞尿管结石的手术治疗:对不同技术的系统审查
Catarina Laranjo Tinoco1, Maria João Oliveira2, Ana Sofia Araújo3
1Urology Department, Hospital de Braga. cat.tinoco@gmail.com.
概括
尿路透镜 (URS),尿路支架 (JJ) 和皮革瘤切除术 (PCN) 在治疗孕妇结石时是安全的. 由于效率,URS通常是首选的,避免了分娩后的第二次程序.
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
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 结肠是怀孕中常见的一种并发症.
- 在怀孕期间侵袭性治疗尿病有风险.
- 治疗选项包括尿路透镜 (URS),尿路支架 (JJ) 和皮肤通 (PCN).
研究的目的:
- 审查URS,JJ和PCN在怀孕期间治疗尿病的安全性和有效性.
- 为了比较这些手术在孕妇患者的结果.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 在PubMed,Embase和Scopus数据库中进行了搜索.
- 使用既有工具评估证据质量和偏见风险.
主要成果:
- 分析了45篇文章,涵盖了3424个干预措施 (2188个URS,719个JJ,517个PCN).
- 尿路检测结果显示,无结石率与非孕妇患者相比相当.
- 常见的并发症包括下尿道症状和感染;发生过早分娩等产科并发症.
- 在比较研究中,手术后并发症在手术之间没有显著差异.
结论:
- 在怀孕期间治疗结石时,URS,JJ和PCN是安全有效的.
- 主要的URS通常更有效,可能会避免分娩后的第二次手术.
- 除非指示临时排水,否则URS是首选选项.
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