妊娠期急性阑尾炎  

Acute appendicitis during pregnancy

作　　者：肖露[1] 黄莉萍[1] Xiao Lu;Huang Liping

机构地区：[1]南方医科大学南方医院妇产科,广州510515

出　　处：《中华产科急救电子杂志》2024年第3期135-140,共6页Chinese Journal of Obstetric Emergency（Electronic Edition）

摘　　要：妊娠期急性阑尾炎是妊娠期最常见的非产科急腹症之一。由于受到妊娠期生理变化的影响,诊断较为困难,而延误诊治将导致不良母胎结局风险增加。妊娠期急性阑尾炎推荐多学科共同管理,多建议手术治疗。手术方式包括开腹与腹腔镜,根据不同孕周子宫大小进行选择。本文从生理特点、临床诊断、治疗进展等方面对妊娠期急性阑尾炎进行论述,期望为妊娠期急性阑尾炎的及时识别和诊治提供更多依据,以减少母胎不良结局的发生。Acute appndieitis is one of the most common nn-obstetric acute abdoninal conditions during pregnancy.Physiological and anatomical changes associated with pregnaney can make the diagnosis particularly challenging.Delayed diagnosis and treatment can lead to increased adverse outcomes for both the mother and fetus.It is recommended that a mutidiseiplinary team approach be taken for diagnosis and treatment.Surgical intervention is often recommended for appendieitis.Surgical options include laparotomy and laparoscopy,with the choice depending on the size of the uterus at different gestational weeks.This article reviews the physiological characteristics and latest progress in the diagnosis and treatment of appendicitis during pregnancy,aiming to improve the recognition and treatment of acute appendicitis and avoid adverse outcomes for both the mother and fetus.

关 键 词：妊娠 急腹症 阑尾炎 腹腔镜 

分 类 号：R714.2[医药卫生—妇产科学]