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[目的]探讨改良Alvarado评分系统与妊娠期急性阑尾炎术后病理结果的相关性及其在妊娠期急性阑尾炎诊断中的应用价值.[方法]回顾性收集2004年1月至2013年1月本院施行妊娠期阑尾切除术的69例临床资料,对各患者Alvarado系统评分结果与病理诊断进行分析.[结果]单纯型组患者平均Alvarado系统评分得分为(4.2±1.6)分,进展型组为平均得分为(7.0±1.9)分,两组间比较差异有统计学意义(P<0.01);评分系统与病理结果呈正相关关系(P<0.01).[结论]改良Alvarado评分系统能帮助早期诊断妊娠期急性阑尾炎并有助于选择外科治疗方案,对减少非必要性急诊手术率和急性穿孔的危险性上有重要价值.“,”[Objective]To analyze the correlation between the modified Alvarado score system and pathological results of acute appendicitis during pregnancy and thus, to explore its application in the diagnosis of acute appendici-tis during pregnancy. [Methods]Clinical data of 69 cases of appendectomy during pregnancy were collected from Jan-uary 2004 to January 2013 in our hospital. Correlation between the results of Alvarado scores and pathological diagno-sis was analyzed. [Results]The patients in the simplex group of appendicitis scored an average of 4.2±1.6 points and the patients in the progressive group scored an average of 7.0±1.9 points;there was significant difference between the two groups ( P<0.01) . The result also showed a positive correlation between scoring system and pathologic results ( P<0.01) . [Conclusion]Modified Alvarado score system may facilitate the early diagnosis of acute appendicitis and the determination of the surgical treatment during pregnancy. It has important value in reducing the non-necessity e-mergency operation rate and appendix perforation risk.