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孕期肾绞痛的母胎并发症:一项范围综述

Maternal-Fetal Complications in Renal Colic during Pregnancy: A Scoping Review.

作者信息

Machura Paulina, Gąsior Jakub S, Ciebiera Michał, Dąbkowska Sylwia, Massalska Diana

机构信息

Second Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, ul. Inflancka 6, 00-189 Warsaw, Poland.

Warsaw Institute of Women's Health, ul. Inflancka 6, 00-189 Warsaw, Poland.

出版信息

J Clin Med. 2024 Sep 18;13(18):5515. doi: 10.3390/jcm13185515.

DOI:10.3390/jcm13185515
PMID:39337002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11432146/
Abstract

Renal colic is one of the most common non-obstetric causes of hospitalization in pregnant women. Its management is often a challenge for obstetricians/gynecologists, urologists and neonatologists due to the complexity of the problem. The aim of this study was to analyze the possible maternal-fetal complications in renal colic during pregnancy. The authors performed a scoping review of the current literature regarding the analyzed issues. The review was conducted using the PubMed/MEDLINE and Web of Science databases. The search generated a total of 237 articles, out of which 7 original studies were ultimately included in the scoping review. In the women affected by renal colic, the incidence of perinatal complications such as urinary tract infections (UTIs), premature rupture of membranes (pPROM), and preterm birth is markedly higher than reported in the general population of pregnant women. Data regarding the recurrence of other perinatal complications such as gestational diabetes mellitus (GDM), pregnancy-induced hypertension (PIH), preeclampsia (PE), and intrauterine growth restriction (IUGR) are scarce and ambiguous. Further research on these issues is needed to improve the perinatal outcomes of the affected pregnancies.

摘要

肾绞痛是孕妇住院最常见的非产科原因之一。由于问题的复杂性,其治疗对产科医生/妇科医生、泌尿科医生和新生儿科医生而言往往是一项挑战。本研究的目的是分析孕期肾绞痛可能出现的母婴并发症。作者对当前有关所分析问题的文献进行了范围综述。该综述使用了PubMed/MEDLINE和科学网数据库。检索共产生237篇文章,其中7项原始研究最终被纳入范围综述。在受肾绞痛影响的女性中,围产期并发症如尿路感染(UTIs)、胎膜早破(pPROM)和早产的发生率明显高于普通孕妇群体的报告。关于其他围产期并发症如妊娠期糖尿病(GDM)、妊娠高血压(PIH)、子痫前期(PE)和胎儿生长受限(IUGR)复发的数据稀少且不明确。需要对这些问题进行进一步研究以改善受影响妊娠的围产期结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/425f/11432146/7631a156ba16/jcm-13-05515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/425f/11432146/7631a156ba16/jcm-13-05515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/425f/11432146/7631a156ba16/jcm-13-05515-g001.jpg

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Medicina (Kaunas). 2023 Dec 7;59(12):2129. doi: 10.3390/medicina59122129.
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Factors Associated with Increased Risk of Urosepsis during Pregnancy and Treatment Outcomes, in a Urology Clinic.与孕期尿脓毒症风险增加相关的因素,以及泌尿科诊所的治疗结果。
Medicina (Kaunas). 2023 Nov 8;59(11):1972. doi: 10.3390/medicina59111972.
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Management of urolithiasis in pregnancy.妊娠期尿路结石的管理
Curr Urol. 2023 Mar;17(1):1-6. doi: 10.1097/CU9.0000000000000181. Epub 2023 Feb 16.
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Management of urolithiasis in pregnancy: A systematic review and meta-analysis.妊娠合并尿路结石的管理:系统评价和荟萃分析。
Scand J Surg. 2023 Jun;112(2):105-116. doi: 10.1177/14574969221145774. Epub 2023 Jan 24.
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Pregnancy Outcomes in a Cohort of Patients Who Underwent Double-J Ureteric Stenting-A Single Center Experience.双 J 输尿管支架置入患者队列的妊娠结局:单中心经验。
Medicina (Kaunas). 2022 Apr 29;58(5):619. doi: 10.3390/medicina58050619.
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Development and validation of a clinical diagnostic model for pregnant women with renal colic in the emergency department in China: a protocol for a retrospective cohort study.中国急诊科肾绞痛孕妇临床诊断模型的建立与验证:一项回顾性队列研究方案。
BMJ Open. 2022 May 2;12(5):e056510. doi: 10.1136/bmjopen-2021-056510.
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