摘要
目的探讨中期妊娠合并阑尾炎患者手术治疗方式的选择。方法回顾2010年—2014年在郑州大学第二附属医院因妊娠期阑尾炎手术治疗的65例患者,44例为孕12周-20周行腹腔镜手术治疗,21例为孕20周-28周行开腹手术治疗;调查患者对手术的满意度。结果腹腔镜手术治疗组住院时间平均为（4.0±2.5）d,开腹手术治疗为（12.5±2.4）d,差异有统计学意义（P〈0.05）。腹腔镜手术治疗组先兆流产发生率为6.8%,开腹手术治疗组为33.3%,差异有统计学意义（P〈0.05）。腹腔镜手术后满意率为95.5%,开腹手术后满意率为57.1%,差异有统计学意义（P〈0.05）。结论中期妊娠合并阑尾炎的患者应选择适当方式手术治疗,及早的腹腔镜手术治疗可以更好改善患者预后。
Objective To investigate the therapy methods of mid- term pregnancy with appendicitis. Methods Totally65 cases of patients who suffered appendicitis during pregnancy in our hospital during 2010- 2014 were retrospectively analyzed. Among which,44 cases were treated by laparoscopic surgery during 12 to 20 weeks of gestation,meanwhile,21 cases were treated by laparotomy during 20 to 28 weeks of gestation. Results The hospitalization time of laparoscopic surgery group was（ 4. 0 ± 2. 5） days average,which was evidently lower than that of laparotomy group（ 12. 5 ± 2. 4）days average（ P 〈0. 05）. Compared with 33. 3 percentage of laparotomy group,6. 8 percentage of laparoscopic surgery group showed signs of threatened abortion（ P 〈0. 05）. In the post- discharge questionnaire survey,95. 5 percentage of laparoscopic surgery group reported satisfaction after surgery,yet in laparotomy group it was 57. 1 percentage（ P 〈0. 05）. Conclusion Patients who suffered appendicitis during mid- pregnancy should get surgical treatment and early laparoscopic surgery may improve patients＇ prognosis.
出处
《医药论坛杂志》
2015年第9期41-42,共2页
Journal of Medical Forum
关键词
中期妊娠
阑尾炎
腹腔镜
手术
先兆流产
Mid-term pregnancy
Appendicitis
Laparoscopic
Surgery
Threatened abortion
