妊娠合并急性阑尾炎手术时机分析

Open appendectomy in acute appendicitis of pregnancy

目的比较妊娠合并急性阑尾炎不同手术时机对妊娠结局的影响。方法回顾性分析86例妊娠合并急性阑尾炎患者临床资料,分为急诊手术组(确诊后24小时内手术)和延迟手术组(确诊24小时后手术)。比较两组间手术时间、住院时间、感染并发症、医疗费用和对妊娠的影响。结果 91%的患者经病理诊断为阑尾炎。两组间年龄、怀孕周数比较无统计学意义(P>0.05)。急诊手术组患者手术时间、住院时间较短(P<0.05),感染并发症、住院费用较少(P<0.05),两组患者早产和流产发生率组间比较无统计学意义(P>0.05)。结论妊娠合并急性阑尾炎宜在早期行手术治疗。

Objective To detect the opportunity of open appendectomy（OA） in acute appendicitis of pregnant women. Methods Retrospective study was used,86 patients who underwent OA were involved in emergency operation group and delay operation group.Patients＇ demographic data,preoperative laboratory and physical values,histopathologic diagnosis of removed appendix,mean operating time,length of hospitalization,and complications were reviewed.Results Acute appendicitis was confirmed in 91% of patients.The groups were similar demographically（mean age and gestational age）.In emergency operation group,the duration of operation and hospitalization were shorter（P0.05）.Less operative costs and fewer complocations（P0.05）.There were no statistical difference in prematurity and abortion（P0.05）.Conclusion The emergency operation should be done in pregnancy woman.