摘要
目的:探讨妊娠期急性阑尾炎的诊治经验,防止流产、早产、死胎等并发症的发生。方法:2003年3月-2014年3月收治妊娠期急性阑尾炎患者18例,对其临床表现、诊断与鉴别诊断及治疗进行回顾性分析。结果:临床表现为急腹症,18例均行阑尾切除术,穿孔6例,流产2例,早产1例,无孕产妇及胎儿死亡。结论:妊娠合并急性阑尾炎早期明确诊断、及早手术是治疗的关键。
Objective:To investigate the experience of diagnosis and treatment of acute appendicitis in pregnancy,to prevent abortion,premature birth,stillbirth and other complications.Methods:18 cases of pregnancy complicated with acute appendicitis were selected from March 2003 to March 2014.Clinical manifestation,diagnosis,differential diagnosis and treatment were retrospectively analyzed.Results:Clinical expression was acute abdomen.18 cases were treated with appendectomy.6 cases had perforation.2 cases had abortion.1 case had premature delivery.There was no maternal and fetal death case.Conclusion:Early diagnosis and early operation treatment are the key for the treatment of pregnancy complicated with acute appendicitis.
关键词
妊娠期
阑尾炎
临床分析
Pregnancy
Appendicitis
Clinical analysis