妊娠期急性阑尾炎66例诊疗分析

摘要

目的:探讨妊娠期急性阑尾炎的诊断及治疗方法.方法:回顾性分析66例妊娠期急性阑尾炎的临床资料,29例患者不同意手术而接受保守治疗,其中12例感染不能控制,改手术治疗,另37例入院急诊外科手术治疗.结果:66例患者顺利出院;8例患者出院后要求行人工流产术;2例患者术后流产,1例患者术后10d早产;无胎儿宫内窘迫、死胎及妊娠妇女死亡等严重并发症.结论:妊娠期急性阑尾炎的及时诊断和手术治疗,是保证临床效果及母婴安全的重要手段.但对感染症状轻、局部腹膜炎不明显、不同意手术的患者,可先予保守治疗,密切观察,治疗效果不明显时应立即手术.%Objective:To explore diagnosis and treatment of acute appendicitis during pregnancy. Methods:retrospective analysis of the clinical data of 66 cases of acute appendicitis during pregnancy,29 patients didn't agree with surgery,so received conservative treatment,and 12 cases of uncontrolled infection,change to surgical treatment,37 cases were admitted to the hospital emergency surgical treatment. Results:66 patients discharge smoothly;eight patients after discharge required abortion in obstetrics and gynecology;2 patients had the abortion,one patient was premature birth at 10 days after surgery;no serious complications such as fetal distress,stillbirth and pregnant women death. Conclusions:Important means for the safety of maternal and infant is that timely diagnosis and surgical treatment of acute appendicitis during pregnancy. If symptoms of light infection,unapparent local peritonitis,and patients don't agree with surgery,we first do conservative treatment,and closely observe. If the treatment effect is not obvious, we then immediately surgery.