腹腔镜治疗妊娠期阑尾炎的安全性

The safety of laparoscope to appendicitis in pregnancy

随着腹腔镜技术的发展与手术器械的改良,其以手术时间短、对患者创伤小、术后恢复快等特点已逐步取代了外科和妇科的传统手术方式,成为外科和妇科手术方式的首选。然而,考虑到妊娠期的特殊生理状态,腹腔镜在妊娠期合并急性阑尾炎中的应用还很局限。本文从CO2气腹、麻醉及药物使用、手术损伤等方面对腹腔镜诊疗妊娠期急性阑尾炎的安全性进行分析。

With the development of laparoscope＇ s technology and the improvement of operating instrument, laparoscope as it is known of the shorter operation time and recovery time, and minimally invasion, is being the preferred operating way in sur- gery and gynaecology, displacing of the traditional operating way. However, laparoscope is not be widely applied in acute ap- pendicitis of pregnant, regarding of the special physiological situation of pregnant. The purpose of this article is to analyze whether it is safe to apply laparoscope in acute appendicitis of pregnant considering of CO2 pneumoperitoneum, anesthetic drug, operation harm etc.