妊娠合并急性阑尾炎70例的诊治与妊娠结局

The diagnosis and treatment of appendicitis in pregnancy and the gestation final outcome:70 cases

目的探讨妊娠合并急性阑尾炎的临床特点及治疗原则与妊娠结局。方法对我院近5年来收治的70例妊娠合并急性阑尾炎患者的临床资料进行回顾性分析。结果70例患者中有42例阑尾炎症状典型行阑尾切除术,手术一次成功,术后病理均诊断为急性阑尾炎,流产率2.38%。28例阑尾炎症状较轻行保守治疗,成功率82.14%,自然流产率7.14%。结论妊娠期阑尾炎强调早期诊断,及时抗炎保胎治疗,建议手术为主的治疗方式。

Objective To diseuss the diagnosis and treatment of aeute appendieitis in pregnaney and the gestation final outeome. Methods 70 young female patients presented with appendieitis during January 2001 to Deeember 2006 in Shenzhen Hospital of Peking University. Result 42 patients underwent emergeney appendeetomy sueeessfully,100% had pathologieally proven aeute appendieitis, the postoperative spontaneous abortion rate was 2.38%.28 patients treated with eonservative therapy, 82.14% had eomplete relief of their initial eomplaints, with only the abortion rate was 7.14%. Conclusion The aeeurate diagnosis of appendieitis during pregnaney requires a high level of suspieion and elinieal skills,and relying on medical treatment. It is important to undertake exploratory surgery early.