腹腔镜手术治疗妊娠合并阑尾炎患者的有效性与安全性分析  

Efficacy and safety analysis of laparoscopic surgery in the treatment of pregnant patients with appendicitis

作　　者：杨晓伟 唐明杰 季嘉男 刘华 余杨 Yang Xiaowei;Tang MingJie;Ji Jianan;Liu Hua;Yu Yang(Department of General Surgery,Wuxi Huishan People's Hospital,Wuxi 214100,China)

机构地区：[1]无锡市惠山区人民医院普外科,江苏无锡214100

出　　处：《实用妇科内分泌电子杂志》2022年第25期42-44,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析妊娠合并阑尾炎治疗中应用腹腔镜手术的临床疗效。方法选取46例妊娠合并阑尾炎患者,按照随机数字表法分为对照组和研究组,每组23例。对照组予以常规开放手术治疗,研究组予以腹腔镜手术治疗。对比两组治疗效果。结果研究组手术时间、术后排气时间、住院时间均明显短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率为4.35%,明显低于对照组的26.09%,差异有统计学意义(P<0.05)。结论对孕早、中期妊娠合并阑尾炎患者实施腹腔镜手术治疗效果更好,安全性更高,具有临床推广应用价值。Objective To analyze the clinical effect of laparoscopic surgery in the treatment of pregnancy complicated with appendicitis.Methods 46 pregnant patients with appendicitis were divided into control group and study group according to random number table,with 23 cases in each group.The control group received conventional open surgery,and the study group received laparoscopic surgery.The therapeutic effect of the two groups was compared.Results The operation time,postoperative exhaust time and hospital stay of the study group were significantly shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was 4.35%,significantly lower than 26.09%in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery for patients with appendicitis in the first and second trimester of pregnancy has better effect,higher safety,and has the value of clinical application.

关 键 词：腹腔镜手术 妊娠合并阑尾炎 有效性 安全性 

分 类 号：R714.255[医药卫生—妇产科学]