妊娠合并阑尾炎的治疗体会:附60例

来源 :新疆医学 | 被引量 : 0次 | 上传用户:az137724907
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目的回顾性分析妊娠合并阑尾炎患者的临床特点,从而汇总临床经验。方法对我院2006年6月至2012年6月收治的60例妊娠期急性阑尾炎患者的资料进行回顾性分析。结果 6例妊娠合并阑尾炎的患者通过保守治疗好转出院,其余54例均进行开腹阑尾切除术,术后流产1例,死胎2例,术中阑尾切除同时终止妊娠2例,早期妊娠合并阑尾炎术后并发症发生率为5.5%(切口感染1例,其他2例),中期妊娠合并阑尾炎并发症发生率18.5%(切口感染5例,粘连性肠梗阻2例,其他3例),晚期妊娠并发症方式率为11.1%(切口感染3例,粘连性肠梗阻1例,其他2例)。结论妊娠合并阑尾炎应早期诊断,早期手术,有助于减少术后并发症。 Objective To retrospectively analyze the clinical features of patients with appendicitis in pregnancy and summarize the clinical experience. Methods The data of 60 patients with acute appendicitis during pregnancy admitted to our hospital from June 2006 to June 2012 were analyzed retrospectively. Results Six patients with pregnancy complicated with appendicitis were discharged after conservative treatment. The remaining 54 patients underwent open appendectomy. One patient had postoperative abortion, two stillbirths, two patients with appendectomy and termination of pregnancy at the same time, and early pregnancy with appendicitis Post-complication rate was 5.5% (incision infection in 1 case, the other 2 cases), interim pregnancy complicated with appendicitis complication rate of 18.5% (incision infection in 5 cases, adhesive intestinal obstruction in 2 cases, the other 3 cases), late pregnancy complications The rate of illness was 11.1% (incision infection in 3 cases, adhesive intestinal obstruction in 1 case, the other 2 cases). Conclusion Pregnancy complicated with appendicitis should be diagnosed early, early surgery, help to reduce postoperative complications.
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