两种方法治疗妊娠合并阑尾炎的临床对比

Clinical Comparison of Two Methods for the Treatment of Pregnant Women with Appendicitis

目的探讨两种方法治疗妊娠合并阑尾炎的临床对比效果。方法妊娠合并急性阑尾炎患者60例随机平分为治疗组与对照组各30例,两组都早期手术治疗,治疗组采用腹腔镜下手术治疗,对照组采用传统开腹手术治疗。结果治疗组的手术时间、术后排气时间、住院时间和保胎治疗时间明显少于对照组(P<0.05)。两组手术治疗均无孕妇及婴儿死亡,伤口愈合良好,两组并发症发生情况对比无明显差异(P>0.05)。结论腹腔镜手术较开腹手术具有腹部切口美容、手术时间短、对机体的损伤小、术后恢复快手术、对妊娠影响小等优点,同时不增加并发症,值得在临床推广应用。

Objective To investigate the clinical contrast effects of the two methods the treatment of pregnant women with appendicitis. Methods 60 pregnant women with acute appendicitis were randomly equally divided into treatment group and control group of 30 cases, two groups were used early surgical treatment, the treatment group were treated with laparoscopic surgery, and the control group were used traditional open surgery. Results The operative time, postoperative passage of flatus, length of stay and miscarriage treatment time of the treatment group were significantly less than the control group （P 〈0.05）. Two groups were no operation treatment of pregnant women and infant death, the wounds healed well, two groups of complications in contrast had no significant difference （P〉 0.05）. Conclusion The laparoscopic surgery has the value with abdominal incision beauty, shorter operative time, lower damage to the body, rapid postoperative recovery, without increasing complications of pregnancy, it deserves further clinical applications.