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目的:分析妊娠合并急性阑尾炎的治疗方法,为临床工作者提供参考。方法:回顾分析自2009年1月-2014年12月期间,云南省大理州宾川县妇幼保健院收治的38例妊娠合并急性阑尾炎患者的临床资料,根据患者病情和孕周选择手术治疗或保守治疗。结果:38例妊娠合并急性阑尾炎患者中,16例孕晚期患者行剖宫产和阑尾切除术,22例孕早、中期患者,其中13例行阑尾切除术,9例采用保守治疗。保守治疗的患者中有1例患者病情控制不佳而中转阑尾切除术。结论:妊娠合并急性阑尾炎的临床表现不典型,确诊后应根据患者病情和妊娠的相关情况选择手术治疗或保守治疗。
Objective: To analyze the treatment of acute appendicitis in pregnancy and provide reference for clinicians. Methods: The clinical data of 38 patients with acute appendicitis complicated with pregnancy admitted to Binchuan MCH Hospital of Dali Prefecture, Yunnan Province from January 2009 to December 2014 were retrospectively analyzed. According to the patient’s condition and gestational age, surgical treatment or conservative treatment treatment. Results: Of the 38 patients with pregnancy complicated with acute appendicitis, 16 patients underwent cesarean section and appendectomy in the third trimester of pregnancy. Twenty-two of them were in early pregnancy and mid-term. Among them, 13 patients underwent appendectomy and 9 received conservative treatment. One patient in conservative treatment had poor control of the disease and transit appendectomy. Conclusion: The clinical manifestations of acute appendicitis with pregnancy are not typical. After diagnosis, surgical treatment or conservative treatment should be selected according to the patient’s condition and pregnancy-related conditions.