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妊娠期急性阑尾炎是最常见的妊娠期非产科急腹症,临床少见。最可靠的症状为右下腹痛,实验室检查多不特异,超声为首选影像学诊断方法,CT或者MRI是重要的辅助检查手段。因为妊娠期生理性和解剖学改变,临床诊断困难,手术方式的选择仍存在争议,早、中孕期更倾向于选择腹腔镜手术,晚孕期以及复杂阑尾炎患者则多以开腹手术为主。由于疾病进展和手术本身对母儿预后的可能影响,尽早明确诊断并及时合理治疗十分重要。
Acute appendicitis in pregnancy is the most common non-obstetric acute abdomen during pregnancy, clinical rare. The most reliable symptoms of right lower quadrant pain, laboratory tests are not specific, ultrasound is the preferred imaging diagnosis, CT or MRI is an important auxiliary examination. Because of physiological and anatomic changes during pregnancy, clinical diagnosis is difficult, the choice of surgical methods is still controversial, early and mid-pregnancy more likely to choose laparoscopic surgery, late pregnancy and complicated appendicitis patients are mostly open surgery. Due to disease progression and the possible impact of surgery itself on the prognosis of maternal and infant, it is very important to confirm the diagnosis as soon as possible and timely and reasonable treatment.