妊娠合并急性阑尾炎30例诊疗分析

摘要

Objective:To discuss the therapy of the pregnancy associated with acute appendicitis. Methods:Retrospectively reviewed the 30 cases admitted by our hospital from December 2005 to December 2010 of acute appendicitis in pregnant women. Results: 14 patients used expectant treatment,and they all were early pregnancy,and mid-term patients; 16 patients adopted operation,1 patient was aborted,1 patient was stillbirth and other surgical patients including mother and child are good. The symptom in late stage is not obvious,but the frequency of gangrene and perforation is the highest. Conclusions: Operation in time is the best option in late stage,lots of department cooperation is the most important condition to improve the prognosis of pregnant women and fetus.%目的:探讨妊娠合并急性阑尾炎的诊治方法.方法:对2005年12月-2010年12月治疗的30例妊娠期急性阑尾炎患者的临床资料进行回顾性分析.结果:保守治疗14例,均为轻症妊娠早期、中期患者；手术治疗16例,1例术后流产,1例术后死胎,其他手术患者母儿预后均良好.妊娠晚期急性阑尾炎的体征不明显,但坏疽穿孔率高.结论:手术为妊娠晚期阑尾炎治疗的首要选择,多科室协作治疗是改善妊娠妇女及胎儿预后的首要条件.