怀孕期间的异常性小囊狭窄症:系统性审查
Julie P Barbera1,2, Matthew H Mossayebi3, Kavisha Khanuja2
1Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
异常性小结节狭窄症 (ISS) 在怀孕期间经常恶化,大多数患者在怀孕期间被诊断出患病. 早期识别和耳鼻喉科转诊对于管理孕妇呼吸道阻塞至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 产科 产科 产科 产科 产科
背景情况:
- 囊底狭窄 (SS) 是声带下方的气道狭窄,其中20%的病例是异常病 (ISS).
- 怀孕可能会加剧先前存在的或未被诊断的呼吸道疾病,对母亲和胎儿构成风险.
研究的目的:
- 系统地审查关于异常性小结节狭窄症 (ISS) 导致妊娠并发症的文献.
- 了解ISS的孕妇患者的表现,管理和结果.
主要方法:
- 使用PubMed,Scopus和clinicaltrials.gov.gov进行了一次系统的文献审查.
- 搜索术语包括"异常性下气管狭窄症"和"怀孕".
- 遵循PRISMA指南,并分析了33例怀孕期间的ISS病例.
主要成果:
- 79%的患者在怀孕期间被诊断出ISS,通常具有空气道阻塞的先前存在的症状.
- 所有怀孕的患者都经历了呼吸系统症状恶化,包括呼吸困难和.
- 67%的孕妇在怀孕期间需要医疗或手术干预,67%的孕妇需要产后干预.
结论:
- 孕妇患有无法解释的呼吸道症状恶化,即使在治疗喘等疾病时,也应该考虑使用ISS.
- 高度的临床怀疑证明了耳鼻喉科转诊进行支气管镜评估的必要性.
- 及时诊断和管理对于有利于母亲和胎儿的结果至关重要.
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