腹腔镜诊治妊娠合并阑尾炎的临床价值  

Clinical value of diagnosis and treatment for the pregnancy combined appendicitis with laparoscopy

作　　者：吴强[1] 陈伟荣[1] 林娟[1] 

机构地区：[1]珠海市妇幼保健院,广东珠海519000

出　　处：《腹腔镜外科杂志》2008年第2期136-138,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜诊治妊娠合并阑尾炎的临床应用价值。方法:回顾分析2003年至2007年应用腹腔镜诊治317例妊娠早、中期合并阑尾炎患者的临床资料,其中妊娠3个月内187例,妊娠4个月78例,妊娠5个月32例,妊娠6个月及以上20例,均无明显的产科疾病及严重的心肺疾病。结果:317例患者均顺利切除阑尾,术后随访无早产、流产病例,分娩的婴儿无明显酸中毒及其他相关并发症。结论:腹腔镜诊断早、中期妊娠合并阑尾炎准确,同时行阑尾切除术安全、可行、疗效良好,对机体的创伤及妊娠环境的干扰明显少于开腹手术,疗效与妊娠期子宫增大程度、术者经验及熟练程度密切相关。Objective：To explore the clinical value of diagnosis and treatment for the pregnancy combined appendicitis with laparoscopy. Methods：The clinical data of 317 cases of pregnancy combined with appendicitis treated with laparoscopic surgery from 2003 to 2007 were analysed retrospecetively. Among them,the duration of pregnancy was within three months in 187 cases, four months in 78 cases, five months in 32 cases, six months and above in 20 cases. The patients had not obvious obstetrics disease and serious cardio-pulmonary disease. Results： Appendectomy was performed in 317 cases of pregnancy combined appendicitis, the premature labor and abortion had not occurned, no acidosis and other complications were found in infants. Conclusions：Early pregnancy combined appendicitis was diagnosod and treated with laparoseopy was safe, feasible and effective, the interference to the organism and pregnancy environment was obriously less than that of the open surgery. The curative effect is closely related to the size of gravid uterus and skill of the operators.

关 键 词：妊娠 阑尾切除术 腹腔镜术 

分 类 号：R714.2[医药卫生—妇产科学] R656.8[医药卫生—临床医学]