产科管理和妊娠期间尿道镜术并发症的多中心综述
Perry J Xu1, Nick Dean2, Kyle Tsai1
1Department of Urolog, Northwestern University, Chicago, Illinois, USA.
Journal of endourology
|August 4, 2025
概括
尿道镜检查 (URS) 是孕妇患有结石的患者的一种安全手术. 在URS期间产科管理和胎儿监测有所不同,但在本研究中并发症最小.
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
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 怀孕期间的结石需要产科医生和泌尿科医生之间的多学科护理.
- 尿道透视术 (URS) 是对结石的公认治疗方法,但对其产科管理和怀孕期间并发症的数据有限.
研究的目的:
- 调查产科 (OB) 实践模式和与孕妇URS相关的并发症.
- 澄清妊娠中URS程序期间OB参与和胎儿监测的作用.
主要方法:
- 在2015年至2024年期间接受了URS的72名孕妇患者的多中心回顾性审查.
- 收集的数据包括患者人口统计,URS指示,手术前检查,手术内详细信息,术后的OB参与,胎儿监测 (FM) 实践和术后的OB并发症.
主要成果:
- 在怀孕期间的72例URS病例中没有观察到手术内并发症.
- 产科管理和胎儿监测实践在各机构之间差异很大.
- 8例 (11%) 患有术后OB并发症,包括收缩和异常非压力测试 (NST),这些并发症自发消失. 没有立即发生过早分娩.
结论:
- 在经验丰富的内分泌科医生进行时,URS是怀孕患者患有结石的安全手术选择.
- 目前对于URS在怀孕期间的产科管理和胎儿监测协议是异质的.
- 在URS期间标准化OB实践可以提高患者护理,并为未来的指导方针制定提供信息.
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