目的 :总结妊娠合并急性阑尾炎患者的诊断和处理的经验。方法 :自 1992年 1月～ 2 0 0 0年 12月分娩的产妇 5 412 6例 ,对其中 32例合并急性阑尾炎的病例进行回顾性分析。结果 :32例病例中 ,2 6例行手术治疗 ,术中发现 16例 (6 1.5 4% )发生阑尾穿孔 ,10例 (38.46 % )未穿孔 ,6例经保守治疗成功。其中 2 6例出现压痛、 18例出现反跳痛、 2 2例出现肌紧张。体温和白细胞计数在穿孔和未穿孔组间无统计学差异。 8例病人术后出现先兆早产 ,1例早产。结论 :压痛、反跳痛和肌紧张是诊断妊娠期急性阑尾炎病人最简单、直接、有效的方法。而发热和白细胞计数、B超只能作为诊断该疾病的参考指标 ,手术可能引起先兆早产 ,但早产发生率较低 Objective: To summarize the experience of diagnosis and treatment in patients with acute appendicitis during pregnancy. Methods: A total of 52616 women were delivered between January 1992 and December 2000. 32 cases of acute appendicitis were analyzed retrospectively. Results: Of the 32 cases, 26 cases underwent surgical treatment. In the operation, 16 cases (6 1.54%) had appendectomy, 10 cases (38.46%) had no perforation, and 6 cases were conservatively treated. Among them, 26 cases had tenderness, 18 cases had rebound pain, and 22 cases had muscle tension. There was no significant difference in body temperature and white blood cell count between perforation and non-perforation groups. Eight patients had threatened preterm labor after surgery and one had premature labor. Conclusion: tenderness, rebound tenderness and muscle tension are the simplest, direct and effective methods for diagnosing acute appendicitis in pregnancy. The fever and white blood cell count, B ultrasound can only be used as a reference indicator of the disease, surgery may cause threatened premature birth, but the incidence of preterm birth is lower