妊娠期泌尿系结石的治疗

孕期肾绞痛是非产科急症住院的常见原因之一。因及时准确诊断困难,且涉及孕妇和胎儿健康风险,治疗妊娠期泌尿系结石对泌尿外科和产科医师仍是一个挑战。随着诊断和治疗技术的进步,尤其是内镜技术的进步,治疗观念和方法均有了转变。明确结石手术治疗成功率较高,应用也逐渐增加,多学科参与有助于降低手术风险;明确结石手术治疗能够提高孕期生活质量、避免产后再次手术等。泌尿科医师应该充分认识孕期泌尿系结石病的重要性和复杂性,实践中推荐多学科参与,并行个体化治疗。为了提高临床医师对妊娠期泌尿系结石的认知和临床诊治能力,在Pubmed和万方数据库进行相关文献搜索,对妊娠期泌尿系结石的成因、诊断、药物和手术治疗等现状进行综述。

Urinary calculi during pregnancy

Renal colic during pregnancy is one of the most common causes of hospitalization for non-obstetric reasons.Treatment is still a challenge for urologist and gynecologist due to the risk and complexity involved in preserving the maternal and fetal well-being during diagnosis and treatment.In recent years,with the advancement of diagnostic and therapeutic techniques,especially the rapid development of endoscopy techniques,treatment concepts and methods have changed.Definite surgery of calculus with high success rate can improve the quality of life during pregnancy and avoid postpartum reoperation and is increasingly used in recent years.Multidisciplinary participation can help reduce the risk of surgery.Urologists should fully understand the importance and complexity of urinary calculus during pregnancy and multidisciplinary participation and individualized treatment is recommended.To improve clinicians’understanding,clinical diagnosis and treatment of urinary calculi during pregnancy.Pubmed and Wanfang database were used to search related literatures.The etiology,diagnosis,drug and surgical treatment of urinary calculi during pregnancy were reviewed.