妊娠期急腹症的诊治策略和结局

The method of diagnosis and therapy and outcome of the acute abdominal syndromes during pregnancy

目的总结和探讨妊娠期急腹症的诊断治疗方法及其母儿结局。方法对2001年1月至2013年11月收治的128例妊娠期急腹症病例的临床资料进行回顾性分析。结果 128例妊娠期急腹症的病例中最多见的种类为急性阑尾炎和肌瘤变性。误诊率为1.56%(2/128)。采用手术治疗63例,占49.22%,保守治疗65例,占50.78%。流产率是7.03%(9/128),早产率4.69%(6/128),早产儿死亡率0.78%(1/128),胎儿丢失率为7.81%(10/128),无孕妇死亡。结论应重视对妊娠期急腹症的明确诊断和合理治疗,采用合理积极的治疗方案,从而减少流产、早产及胎儿丢失的不良结局。

Objective To explore the method of diagnosis and therapy and outcome of the acute abdominal syndromes during pregnancy. Methods An analysis of clinical data of 128 cases of acute abdominal syndromes during pregnancy from January 2001 to November 2013 had been conducted. Results The most common types of acute abdominal syndromes during pregnancy were acute appendicitis and degeneration of myoma. The ratio of the incorrect diagnosis was 1.56% （2/128）. 63 cases received surgical treatment （49.22%） and 65 cases were given conservative treatment （50.78%）. The ratio of abortion was 7.03% （9/128）and the ratio of premature birth was 4.69% （6/128）. The death ratio of premature baby was 0.78% （ 1/128 ） and the ratio of fetal loss was 7.8% （ 10/128 ）. No death of pregnant woman occurred. Conclusion The emphasis of accurate diagnosis and ideal therapy of the acute abdominal syndromes during pregnancy should be put to reduce the harmful outcome of abortion, premature delivery and the loss of fetuses.