Saussine C, Lechevallier E, Traxer O
Service d'urologie, hôpital Civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
Prog Urol. 2008 Dec;18(12):1000-4. doi: 10.1016/j.purol.2008.09.008. Epub 2008 Oct 18.
Diagnosis of urolithiasis during pregnancy is a common condition not more frequent than in non pregnant women. Ultrasonography will be the main tool of diagnosis. If sonography fails, ionizing radiation will be used only if MRI is not available. One must take care of the mother and the foetus because preterm delivery is increased in case of lithiasis during pregnancy. Conservative treatment is favoured taking care of specific contraindications of medical therapy related to pregnancy. In case of complications, drainage of the urinary system by retrograde or antegrade approach will be considered. Endoscopic treatment is realized only in case of failure of drainage or in the post-partum with etiologic investigations.
孕期尿路结石的诊断是一种常见情况，其发生率并不高于非孕期女性。超声检查将是主要的诊断工具。如果超声检查失败，仅在无法进行磁共振成像（MRI）时才会使用电离辐射。必须兼顾母亲和胎儿，因为孕期结石会增加早产风险。在考虑到与妊娠相关的药物治疗的特定禁忌证的情况下，倾向于采用保守治疗。对于并发症，将考虑通过逆行或顺行途径进行泌尿系统引流。仅在引流失败或产后进行病因调查时才实施内镜治疗。
