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中华产科急救电子杂志 ›› 2024, Vol. 13 ›› Issue (03) : 141 -145. doi: 10.3877/cma.j.issn.2095-3259.2024.03.003

妊娠期非产科手术

妊娠合并尿路结石的诊治
赵颖1, 熊钰1,()   
  1. 1. 200090 上海,复旦大学附属妇产科医院产科
  • 收稿日期:2024-06-24 出版日期:2024-08-18
  • 通信作者: 熊钰

Diagnosis and treatment of pregnancy complicated with urolithiasis

Ying Zhao, Yu Xiong()   

  • Received:2024-06-24 Published:2024-08-18
  • Corresponding author: Yu Xiong
引用本文:

赵颖, 熊钰. 妊娠合并尿路结石的诊治[J]. 中华产科急救电子杂志, 2024, 13(03): 141-145.

Ying Zhao, Yu Xiong. Diagnosis and treatment of pregnancy complicated with urolithiasis[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2024, 13(03): 141-145.

尿路结石是妊娠期泌尿系统相关性腹痛的最常见原因。妊娠期母体的生理变化增加了尿路结石诊断的困难,同时治疗方案的选择需兼顾母体和胎儿的安全。超声是诊断妊娠期尿路结石的首选方法。保守治疗是一线治疗方案,包括自行排石和疼痛管理。梗阻性结石合并感染需要立即引流。如果不存在感染且保守治疗失败,可以进行输尿管镜检查。冲击波碎石和经皮肾镜取石术是妊娠期的禁忌。

Urolithiasis is the most common cause of urinary system-related abdominal pain during pregnancy. The maternal physiological changes during pregnancy increase the difficulty of the diagnosis of urolithiasis, and the choice of treatment should take into account the safety of the mother and the fetus. Ultrasound is the first choice for the diagnosis. Conservative treatment is the first line of treatment, including spontaneous passage and pain management. Obstructive stones with infection require immediate drainage. A ureteroscopy may be performed if no infection is present and conservative treatment has failed. Shockwave lithotripsy and percutaneous nephrolithotomy are contraindicated during pregnancy.

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