Renal calculi in pregnancy.
Renal calculi in pregnancy.
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妊娠期肾结石。
DOI：
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发表时间：
1985
影响因子：
1.5
通讯作者：
J. Schmidt
中科院分区：
文献类型：
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作者：
E. Horowitz;J. Schmidt
本文总结了近年来有关妊娠期尿路结石的文献。我们自己的经验与17例患者，（0.08%的交付）在最近12年的时间间隔已被描述。必须强调肾脏超声检查的安全性和局限性。对于尿路感染抗生素治疗48小时后无反应、肾功能下降、肾回波描记术显示大量肾积水或呕吐引起疼痛和脱水的患者，应进行排泄性尿路造影。注射后胶片的拍摄时间至关重要;建议拍摄3小时胶片，如果需要，拍摄6小时胶片。介入治疗（非手术或手术）的标准包括结石性肾盂肾炎、持续性大量肾积水伴肾功能损害、持续性疼痛或脓毒症。
The recent published literature dealing with urinary tract calculi during pregnancy has been summarized. Our own experience with 17 patients, (0.08% of the deliveries) in a recent 12-year interval has been described. Emphasis must be placed on the safety and limitations of renal ultrasonography. Excretory urography should be performed in patients with urinary infection not responding after 48 hours of antibiotic therapy, with declining renal function, with massive hydronephrosis on renal echography, or with pain and dehydration from vomiting. The timing of postinjection films is critical; a 3-hour film and, if needed, a 6-hour film are recommended. Criteria for intervention (nonoperative or operative) include calculous pyelonephritis, persistent massive hydronephrosis with impairment of renal function, and protracted pain or sepsis.