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美国2021版《妊娠期肾结石诊治-单中心多学科指南》解读-提高临床诊断能力,加强多学科协作管理

摘要:妊娠期肾结石是妊娠患者非产科因素住院的常见病因,容易出现疼痛、恶心、呕吐、肾功能下降、泌尿道感染等并发症,处理不当会导致流产、早产等不良的妊娠结局。美国医学中心多学科联合发布《妊娠期肾结石诊治-单中心多学科指南》,以期创建妊娠期肾结石的循证的、全面的治疗指南,以规范妊娠期肾结石患者的诊治。本次指南共形成11个指南共识,其中4个用于指导诊断和影像学检查,7个用于指导临床治疗。值得关注的是,与国内指南相比,该指南提供了循证依据,证据了妊娠期使用低剂量CT平扫的安全性、有效性,并可以在患者病情变化且诊断不明确时优先使用;本文就以上内容对该指南展开深度解读。

英文摘要:Renal stones are relatively rare during pregnancy. However,nephrolithiasis is the most common non-obstetric indicationnfor hospital admission in obstetric patients,which are often associated with pain,nausea,vomiting,AKI,urinary infection and other symptoms. Improper treatment will lead to abortion and premature delivery. In response,A multi-disciplinary team involving Urology,Obstetric Anesthesiology,Obstetrics and Gynecology,Diagnostic Radiology,and Interventional Radiology from a single academic medical center was assembled to create multi-disciplinary evidence-based guidelines to standardize the care for obstetric patients presenting with flank pain and suspicion for nephrolithiasis. A total of 11 guidelines were formed in this guideline,including 4 guidelines for diagnosis and imaging examination,and 7 guidelines for clinical treatment. It is noteworthy that compared with the domestic guidelines,this guidelines provide evidence-based evidence of the safety and effectiveness of low-dose non-contrast CT scan during pregnancy,and can be used preferently when condition changes and the diagnosis is not clear. In this paper,the above content to carry out an in-depth interpretation of the guide.

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[V1] 2022-08-12 18:31:10 chinaXiv:202208.00082V1 下载全文
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