Njeh M, Baati S, Sellami D, Kechaou M, Rekik S, Mhiri M N
Service d'Urologie, CHU H. Bourguiba, Sfax, Tunisie.
Ann Urol (Paris). 1996;30(3):147-50.
Retention of infected urine in the upper urinary tract which is due to obstruction is a serious condition during pregnancy. The authors report their experience on five cases and propose attitudes to adopt against such emergency. Ultrasounds allow accurate diagnosis of the obstruction and may be helpful to find its etiology. Plain X ray film could be of interest mainly for stone recognition after the third month of gestation. Surgical treatment, when possible allows either relief of obstruction and cure of the original disease, otherwise performance of percutaneous nephrostomy represents a better way of drainage until the end of pregnancy.
由于梗阻导致的上尿路感染性尿液潴留是妊娠期的一种严重情况。作者报告了他们对5例病例的经验,并提出了应对此类紧急情况的措施。超声检查能够准确诊断梗阻情况,且有助于查明其病因。腹部平片主要在妊娠第三个月后对识别结石有意义。在可能的情况下,手术治疗可解除梗阻并治愈原发病,否则,经皮肾造瘘术是直至妊娠结束更好的引流方式。