妊娠合并急性阑尾炎112例临床分析.pdfVIP

2011午2月第 49卷第 5期 · 临床探讨 · 妊娠合并急性阑尾炎112例临床分析 樊锦坤 (广东省广州市番禺区石暮人民医院普外科 ，广东广州 511450) [摘要】目的 总结妊娠期急性阑尾炎的诊治经验 ，防止流产与早产、死胎等并发症发生。方法 回顾性分析我院2007年 6 月 ～2010年 3月收治的 112例妊娠合并急性阑尾炎患者的临床资料，按治疗方法不同分为两组，其中手术治疗组(78例) 采用阑尾切除术治疗，保守治疗组 (34例)要求保守治疗，统计观察两组的治疗效果。结果 手术治疗组 78例患者均手术顺 利，66例经腹单纯阑尾切除术，10例剖宫产加阑尾切除术 ，2例术后引产；术后无切 口感染 ，均 I期愈合，无产妇死亡。保守 治疗组 34例患者中28例治疗无效改行手术治疗；6例保守治疗患者症状缓解，无流产、早产等并发症。结论 妊娠合并急性 阑尾炎早期明确诊断、尽早手术是提高治愈率，降低并发症的关键。 【关键词】妊娠并发症 ；急性阑尾炎 ；保守治疗 ；阑尾切除 [中图分类号】R714．255 【文献标识码】A 【文章编号】1673—9701(2011)05—111-02 ClinicalAnalysis of 112 Cases ofPregnancy Complicated Acute Appen- dicitis FAN J／n／am DepartmentofGeneralSurgery，Panyu DistrictShiqiPeople’sHospital，Guangzhou 511450，China A【bstract】ObjectiveTosummarizetheexperienceofacuteappendicitisduringpregnantperiodtopreventthecomplicationofabor- tion premature andfetaldeath，etc．M ethods Retrospectively reviewed 112 casesadmitted by ourhospitalfrom June 2007 to March 2010 ofacute appendicitis in pregnantwomen and observed the curative effectofthe two groups．112 cases were divided into two groups．78caseswere operated，34 caseswereconservatinelytreated．Results 78caseshadsuccessfulsurgery including66 patientsof the abdominalsimplex appendectomy， 10 cases with cesarean section before appendectomy，2 gotinduced labourafteroperation， no incision infection ordeath occurred．28 caseswith conservative treatmentturned to surgery， and 6 cases were in relief，in which no ba ortion and eraly delivery occurred．Conclusion The key to operate in time is the main approach for acute appendicitis during preng ancyperiod to increaserecovery rateand decreasetherateofcomplications． fKeywords】Complicationofprengancy；Acuteappendicitis；Expectanttreatment；Appendectomy 急性阑尾炎是妊娠期最常见的外科急症 ，妊娠期急性阑尾 72h，平