怀孕和产后的本地活检:来自印度的单一中心经验
Shreya Srinivas Mondemu1, Sreejith Parameswaran2, Rajesh Nachiappa Ganesh3
1Department of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Obstetric medicine
|November 18, 2024
概括
怀孕期间的脏活检对于诊断脏疾病,如狼性炎,是安全有效的. 只有当活检结果会改变怀孕管理,确保最佳的孕产妇和胎儿结果时,才建议进行该程序.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 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:
- 医学成像学的进步增加了活检用于怀孕期间诊断病理的使用.
- 怀孕对诊断和管理脏疾病提出了独特的挑战.
研究的目的:
- 评估在孕妇和产后妇女中进行的本地活检的指示和并发症.
- 在这个特定的患者群体中评估活检的诊断产量和安全性.
主要方法:
- 一项回顾性观察性研究对32名在2015年至2022年期间接受本地脏活检的妇女进行了观察.
- 收集的数据包括活检的指示,时间 (产前与产后),诊断结果和孕产妇/胎儿结局.
主要成果:
- 常见的征兆包括瘤综合征和急性损伤; 62.5%的活检是在产前进行的.
- 狼性炎是最常见的诊断. 没有报告任何与程序相关的严重不良影响.
- 怀孕经常因高血压疾病和早产而复杂;大多数新生儿健康,有6例产周损失.
结论:
- 脏活检是诊断怀孕期间脏病理的一个有价值的工具,狼性炎是常见的发现.
- 该程序显示了良好的安全性,没有严重的不良事件.
- 怀孕期间的脏活检应保留在结果会显著改变临床管理的情况下.
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