两种治疗方法在妊娠期急性阑尾炎治疗中比较.doc

两种治疗方法在妊娠期急性阑尾炎治疗中比较[摘要] 目的:探讨两种治疗方法在妊娠期急性阑尾炎治疗中的比较。方法:回顾性分析2001年7月～2008年5月40例妊娠合并急性阑尾炎患者的临床资料。结果:40例患者中,处于妊娠早、中期33例,晚期7例。38例表现为右下腹痛,40例均有腹部压痛及消化道症状,33例伴发热。25例诊断后立即手术者均治愈,术后切口感染1例,流产1例。15例行保守治疗,其中,早、中期妊娠12例,治愈5例,好转4例,保守治疗失败3例症状加重转手术治疗,3例均流产,其中1例合并切口感染;晚期妊娠3例,均症状加重转手术治疗,3例均早产,2例早产儿死亡。无一例孕妇死亡。结论:对于妊娠期合并急性阑尾炎的患者,及时的诊断和治疗是处理本病的关键,手术治疗为首选的治疗方法。 [关键词] 急性阑尾炎;妊娠;手术治疗;保守治疗 [中图分类号]R574.61 [文献标识码] B[文章编号] 1673-7210(2009)08(a)-203-02 Comparison of two methods in the treatment of acute appendicitis during pregnancy CHEN Weimin1, YANG Lshun2, ZHENG Dingrong2 (1.Department of General Surgery, the People’s Hospital of Chaoyang District, Shantou City, Shantou 515100, China; 2.Department of Laboratory, Xixiang People’s Hospital of Bao’an District, Shenzhen City, Shenzhen 518102, China) [Abstract] Objective: To discuss two methods in the treatment of acute appendicitis during pregnancy. Methods: 40 cases of pregnant women with acute appendicitis were retrospectively analyzed from July 2001 to May 2008. Results: Among the 40 cases of patients, 33 cases were early and middle pregnant stage, 7 cases were late pregnant stage. 38 cases had lower abdominal pain, 40 cases had abdominal tenderness and enteron symptom, 33 cases had fever. 25 cases were operated on after diagnosis and all were cured, 1 case occurred incision infection, 1 case occurred abortion. 15 cases received conservative treatment, 12 cases were early and middle pregnancy, 5 cases were cured, 4 cases were improved, 3 cases failed in conservative treatment and operated on surgery, 3 cases occurred abortion, among them, 1 case had incision infection. 3 cases were late pregnant stage, all were operated on, 3 cases occurred premature birth, and 2 cases occurred premature death. No patient died. Conclusion: For pregnant women with acute appendicitis, it is critical to receive immediate diagnosis and treatment, and surgery is the primary treatment for this disease. [Key words] Acute appendicitis; Pregnancy; S