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孕期巨大肾积水的后腹腔镜肾切除术

Retroperitoneoscopic nephrectomy for giant hydronephrosis in pregnancy.

作者信息

Mastoroudes Heleni, Olsburgh Jonathon, Harding Kate, Dasgupta Prokar

机构信息

Worthing and Southlands NHS Trust, UK.

出版信息

Nat Clin Pract Urol. 2007 Sep;4(9):512-5. doi: 10.1038/ncpuro0906.

DOI:10.1038/ncpuro0906
PMID:17823605
Abstract

BACKGROUND

A 32-year-old primiparous woman presented with a painful left-sided giant hydronephrotic kidney secondary to pelvi-ureteric junction obstruction (PUJO).

INVESTIGATIONS

Renal ultrasonography, intravenous urography and MAG-3 renography.

DIAGNOSIS

Symptomatic non-functioning left PUJO in first trimester.

MANAGEMENT

Following counselling, the patient had an uncomplicated retroperitoneoscopic nephrectomy at 9 weeks' gestation for symptom relief and to prevent future risks to both mother and fetus during the remainder of the pregnancy. She had an uneventful recovery and delivered a healthy 3.2 kg male at term per vaginum.

摘要

背景

一名32岁初产妇因肾盂输尿管连接处梗阻(PUJO)出现左侧巨大肾积水伴疼痛。

检查

肾脏超声、静脉肾盂造影和MAG-3肾图。

诊断

孕早期有症状的左侧无功能PUJO。

治疗

咨询后,患者在妊娠9周时接受了无并发症的后腹腔镜肾切除术,以缓解症状并防止在妊娠剩余时间对母亲和胎儿造成未来风险。她恢复顺利,足月经阴道分娩一名健康的3.2千克男婴。

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Perinatal Management in a Pregnant Woman with Ureteropelvic Junction Obstruction: Case Report and Literature Review.一名患有肾盂输尿管连接部梗阻的孕妇的围产期管理:病例报告与文献综述
Diagnostics (Basel). 2022 Apr 6;12(4):913. doi: 10.3390/diagnostics12040913.
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Laparoscopic nephrectomy for pyonephrosis during pregnancy: case report and review of the literature.妊娠期脓肾的腹腔镜肾切除术:病例报告及文献复习
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Role of laparoscopic nephrectomy for refractory hypertension in poorly functioning kidneys.腹腔镜肾切除术在肾功能不佳的难治性高血压中的作用。
Ann R Coll Surg Engl. 2011 Jan;93(1):25-6. doi: 10.1308/003588410X12771863936800. Epub 2010 Aug 11.