Urolithiasis in pregnancy.

Stavros Charalambous, Asterios Fotas, D E E Rizk
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引用次数: 21

Abstract

Urolithiasis is the most common cause of urological-related abdominal pain in pregnant women after urinary tract infection. The disease is not uncommon during pregnancy occurring in 1/200 to 1/2,000 women, which is not different from the incidence reported in the nonpregnant female population of reproductive age. During pregnancy, the frequency of stone localization is twice as higher in the ureter than in the renal pelvis or calyx, but there is no difference between the left and right kidney or ureter. Urinary stones during pregnancy are composed mainly of calcium phosphate (hydroxyapatite) in 74% of cases and calcium oxalate in the remaining 26% (Ross et al., Urol Res 36:99-102, 2008). In conclusion, urolithiasis during pregnancy can be serious, causing preterm labor in up to 40% of affected women. The pathogenesis, diagnosis, and management are analyzed.

妊娠期尿石症。
尿石症是孕妇尿路感染后泌尿系统相关腹痛的最常见原因。这种疾病在怀孕期间并不罕见,发生率为1/200至1/ 2000,与未怀孕的育龄女性人口的发病率没有什么不同。妊娠期间,输尿管结石定位的频率是肾盂或肾盂结石定位的两倍,但左右肾或输尿管结石定位无差异。妊娠期尿路结石74%的病例主要由磷酸钙(羟基磷灰石)组成,其余26%由草酸钙组成(Ross等人,尿路研究36:99-102,2008)。总之,怀孕期间尿石症可能很严重,导致多达40%的受影响妇女早产。本文对其发病机制、诊断及治疗进行了分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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