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急性阑尾炎是妊娠期最常见的一种外科合并症,妊娠期急性阑尾炎的发病率为0.05%~0.20%[1]。急性阑尾炎的病因是阑尾管腔堵塞和细菌侵入或慢性阑尾炎急性发作。进入妊娠中期后宫体增大,进而压迫阑尾管壁,易造成阑尾管腔堵塞,加之随着宫体增大盲肠、阑尾位置逐渐上移,使阑尾扭曲、粘连、缺血及管腔堵塞,导致妊娠中期后阑尾炎发病率相对增高[2]。妊娠期尤其是妊娠晚期,急性阑尾炎的临床表现常不典
Acute appendicitis is the most common form of surgical complications during pregnancy. The incidence of acute appendicitis during pregnancy is 0.05% to 0.20% [1]. The cause of acute appendicitis is occlusion of the appendix lumen and bacterial invasion or acute exacerbation of chronic appendicitis. Into the second trimester of pregnancy, the uterus increases, which in turn oppression of the appendix wall, easy to cause occlusion of the appendix lumen, combined with the Palace of the cecum, appendix position gradually up, so that appendix twist, adhesions, ischemia and lumen congestion, resulting in The incidence of appendicitis after pregnancy is relatively high [2]. Pregnancy, especially in late pregnancy, the clinical manifestations of acute appendicitis often atypical