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Gebelerde renal kolikli hastaya yaklaşım; Ankara Eğitim ve Araştırma Hastanesi Deneyimi

Year 2018, Volume: 51 Issue: 1, 47 - 49, 30.03.2018

Abstract

Hastanemize başvuran 121 renal kolikli gebe hasta retrospektif incelenmiştir. Hastalara konservatif tedavi, üreteral stent yerleştirilmesi ve peruktan nefrostomi takılması tedavileri uygulanmıştır. 

Hastaların çoğunluğu(70 (%57.8) konservatif tedaviden fayda
gördüler. Konservatif tedaviden faydalanamayan ve fayda göremeyeciği düşünülen
hastalarada(50 (%41.3)) ureteral stent yerleştirildi. Piyonefroz saptanan bir
hastaya peruktan nefrostomi yerleştirildi. Konservatif tedaviden bu
oranda(%57.8) fayda görülmesi literatürle uyumludur. Bu çalışmanın sonuçları
değerlendirildiğinde üçüncü trimesterde konservatif tedavinin etkinliğinin
gebeliğin ilk dönemlerine göre azaldığı görülmüştür. Hastaya yaklaşımda gebelik
periyodunun önemi de göz önünde bulundurulmalıdır.



References

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  • Drago JR, Rohner TJ, Chez RA. Management of urinary calculi in pregnancy. Urology. 1982;20:578-581.
  • Horawitz E,Schimidt JD. Renal calculi in pregnancy. Clinical obstetric and gynecology. 1995;324-337.
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  • Ringel A, Richter S, Shaley M, Nissenkorn I. Late complications of ureteral stents. Eur Urol. 2000;1:41-44.
  • Denstedt JD, Razvi H. Management of urinary calculi during pregnancy. J Urol. 1992;9:1072-1074
  • Khoo L, Anson K, Patel U. Success and short-term complication rates of percutaneous nephrostomy during pregnancy. J Vasc Interv Radiol 2004;12:1469-1476.
  • - Hausegger KA, Portugaller HR. Percutaneous nephrostomy and antegrade ureteral stenting: technique-indications-complications. Eur Radiol. 2006;16:2016-2030
  • Semins MJ, Trock BJ, Matlaga BR. The safety of ureteroscopy during pregnancy a systematic review and meta-analysis. J Urol. 2009;181:139-143.
  • Shah A, Chandak P, Tiptaft R, Glass J, Dasgupta P. Percutaneous nephrolithotomy in early pregnancy. Int J Clin Pract. 2004;58:809-810
  • Toth C, Toth G, Varga A, Flasko T, Salah MA. Percutaneous nephrolithotomy in early pregnancy. Int Urol Nephrol. 2005;37:1-3
  • Streem SB. Contemporary clinical practice of shock wave lithotripsy: a reevaluation of contraindications. J Urol. 1197;157:1197-1203
Year 2018, Volume: 51 Issue: 1, 47 - 49, 30.03.2018

Abstract

References

  • Shokeir AA. Renal colic: pathophysiology, diagnosis and treatment.Eur Urol 2001;39:241-249.
  • Drago JR, Rohner TJ, Chez RA. Management of urinary calculi in pregnancy. Urology. 1982;20:578-581.
  • Horawitz E,Schimidt JD. Renal calculi in pregnancy. Clinical obstetric and gynecology. 1995;324-337.
  • Fallon BDD. Urologic issues during pregnancy. Hosp Physician 2007;14:1-12
  • Damiano R, Oliva A, Esosito C, De Sio M, Autorino R, D’Armiento M. Early and late complicatons of double pigtail ureteral stent. Urol Int.2002;69(2):136-40
  • Ringel A, Richter S, Shaley M, Nissenkorn I. Late complications of ureteral stents. Eur Urol. 2000;1:41-44.
  • Denstedt JD, Razvi H. Management of urinary calculi during pregnancy. J Urol. 1992;9:1072-1074
  • Khoo L, Anson K, Patel U. Success and short-term complication rates of percutaneous nephrostomy during pregnancy. J Vasc Interv Radiol 2004;12:1469-1476.
  • - Hausegger KA, Portugaller HR. Percutaneous nephrostomy and antegrade ureteral stenting: technique-indications-complications. Eur Radiol. 2006;16:2016-2030
  • Semins MJ, Trock BJ, Matlaga BR. The safety of ureteroscopy during pregnancy a systematic review and meta-analysis. J Urol. 2009;181:139-143.
  • Shah A, Chandak P, Tiptaft R, Glass J, Dasgupta P. Percutaneous nephrolithotomy in early pregnancy. Int J Clin Pract. 2004;58:809-810
  • Toth C, Toth G, Varga A, Flasko T, Salah MA. Percutaneous nephrolithotomy in early pregnancy. Int Urol Nephrol. 2005;37:1-3
  • Streem SB. Contemporary clinical practice of shock wave lithotripsy: a reevaluation of contraindications. J Urol. 1197;157:1197-1203
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Original research article
Authors

Buğra Bilge Keseroğlu

Berat Cem Özgür This is me

Cem Nedim Yücetürk

Ali Ayyıldız

Veli Mert Yazar This is me

Erim Ersoy This is me

Publication Date March 30, 2018
Submission Date July 23, 2018
Published in Issue Year 2018 Volume: 51 Issue: 1

Cite

AMA Keseroğlu BB, Özgür BC, Yücetürk CN, Ayyıldız A, Yazar VM, Ersoy E. Gebelerde renal kolikli hastaya yaklaşım; Ankara Eğitim ve Araştırma Hastanesi Deneyimi. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. March 2018;51(1):47-49.