在怀孕期间进行皮肤透:全面的综述和技术见解
Daniel Pérez-Fentes1, Esteban Emiliani2, Ernesto Donoso1
1Endourology Unit, Urology Department, University Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.
Asian journal of urology
|December 30, 2025
概括
穿皮瘤切除术 (PCNL) 是一个安全和可行的选择,孕妇有尿路结石,当保守的管理失败时. 这种微创手术,当由经验丰富的团队进行时,没有报告的孕产妇或胎儿并发症.
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
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 怀孕期间尿路结石通常需要谨慎管理或临时排水.
- 皮肤穿神经切除术 (PCNL) 通常是由于侵入性和光镜的使用而避免的.
- 在某些与怀孕相关的尿路结石病例中,可能需要进行干预.
研究的目的:
- 审查关于在怀孕期间使用皮肤通瘤切除术 (PCNL) 的文献.
- 评估PCNL在孕妇患者的安全性,有效性和可行性.
- 探索在妊娠期间执行PCNL的技术方面.
主要方法:
- 从2000年1月到2024年3月进行了叙事文献综述.
- 搜索的数据库包括 PubMed,Embase 和 Scopus.
- 涉及14名孕妇的6项研究符合纳入标准.
主要成果:
- 研究包括23-34岁的患者,怀孕8至28周之间.
- 术前成像仅依赖于超声波;石块大小在8-48毫米之间.
- PCNL适用于持续疼痛或支架置换不情愿;在13名患者中避免了光镜检查,没有产妇或胎儿并发症.
结论:
- 穿皮瘤切除术 (PCNL) 是一种可行的治疗方法,用于怀孕期间特定的尿路结石病例.
- 执行PCNL需要经验丰富的中心,患者咨询和多学科的方法.
- 该程序在经过审查的文献中证明了安全性和可行性.
更多相关视频
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
8.1K
03:19Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
2.0K
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
325
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
325
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
939
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
939
01:28Urinary Tract Calculi V: Nursing Management
247
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
247
01:30Urinary Tract Calculi III: Medical Management
169
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
169
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
267
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
267
01:27Acute Pyelonephritis I: Introduction
421
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
421