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目的探讨和总结妊娠合并急性阑尾炎的临床诊治经验。方法回顾性分析钟祥市第四人民医院1996年至2010年收治的12例妊娠合并急性阑尾炎患者的诊断和治疗情况。结果 12例妊娠合并急性阑尾炎患者平均年龄27.9岁,保守治疗3例,手术治疗9例,无早产流产病例,所有孕产妇及新生儿无死亡。结论尽管妊娠合并急性阑尾炎的诊断有一定的难度,但熟练掌握妊娠期生理变化,外科、妇产科共同参与,提高对妊娠合并急性阑尾炎的鉴别诊断认识,均有助于做出正确诊断,只有及早诊断,合理治疗,才能有效保障母婴安全。手术治疗仍是最及时有效的治疗方法,并应遵循个体化的治疗原则。
Objective To investigate and summarize the experience of clinical diagnosis and treatment of acute appendicitis complicated with pregnancy. Methods A retrospective analysis of the Fourth People’s Hospital of Zhongxiang City from 1996 to 2010, 12 cases of patients with acute appendicitis diagnosis and treatment. Results The average age of 12 pregnant women with acute appendicitis was 27.9 years old. Three cases were treated conservatively and 9 cases were treated surgically. No case of preterm miscarriage was found. All pregnant women and newborns had no deaths. Conclusions Although the diagnosis of acute appendicitis complicated with pregnancy has some difficulties, it is helpful to master the physiological changes during pregnancy, to participate in surgery and obstetrics and gynecology, and to improve the differential diagnosis of acute appendicitis in pregnancy. Early diagnosis, reasonable treatment, can effectively protect the safety of mothers and children. Surgical treatment is still the most timely and effective treatment, and should follow the principle of individualized treatment.