妊娠合并尿路结石的诊治  

Diagnosis and treatment of pregnancy complicated with urolithiasis

作　　者：赵颖 熊钰 Zhao Ying;Xiong Yu

机构地区：[1]复旦大学附属妇产科医院产科,上海200090

出　　处：《中华产科急救电子杂志》2024年第3期141-145,共5页Chinese Journal of Obstetric Emergency（Electronic Edition）

摘　　要：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 sytem-related abdominal pain during pregnancy.The matemal physiological changes during pregnancy inerease the difculy 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 infeetion require immediate drainage.A ureteroscopy may be performed if no infection is present and conservative treatment has failed.Shockwave litotripsy and percutaneous nephrolithotomy are contraindicated during pregnaney.

关 键 词：妊娠 尿路结石症 诊断 治疗学 

分 类 号：R714.2[医药卫生—妇产科学]