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目的:总结妊娠合并急性阑尾炎的治疗方法,以提高其诊疗水平和改善预后。方法:回顾性分析2010年6月至2013年12月揭阳市榕城区妇幼保健院收治的妊娠合并急性阑尾炎患者30例的临床资料。结果:本组30例患者中,手术治疗28例,2例先行保守治疗,失败后中转手术治疗;术后病理报告:化脓性阑尾炎20例,单纯性急性阑尾炎8例,坏疽性阑尾炎2例。结论:妊娠合并急性阑尾炎的临床表现不典型,且进展快;应尽早诊断,且一旦确诊应立即行手术治疗,可最大限度地降低母婴并发症及死亡率,并根据孕周选择合适的治疗方案,以提高治愈率。
Objective: To summarize the treatment of acute appendicitis complicated by pregnancy in order to improve its diagnosis and treatment and improve the prognosis. Methods: The clinical data of 30 patients with pregnancy complicated with acute appendicitis admitted from Rongcheng District Maternity and Child Health Hospital of Jieyang from June 2010 to December 2013 were retrospectively analyzed. Results: The group of 30 patients, surgical treatment of 28 cases, 2 cases of conservative treatment, after the failure of transit surgery; postoperative pathology report: suppurative appendicitis in 20 cases, simple acute appendicitis in 8 cases, gangrenous appendicitis in 2 cases. Conclusion: The clinical manifestations of acute appendicitis with pregnancy are not typical and the progress is rapid; diagnosis should be done as soon as possible, and once diagnosed, surgical treatment should be performed immediately to minimize the maternal and infant complications and mortality, and select the appropriate treatment according to gestational age Program to increase the cure rate.