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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 explore the surgical treatment of mid-pregnancy complicated with appendicitis. Methods From 2010 to 2014, 65 patients underwent surgical treatment of appendicitis during pregnancy in the Second Affiliated Hospital of Zhengzhou University from 2010 to 2014. 44 patients underwent laparoscopic surgery from 12 weeks to 20 weeks of gestation and 21 cases were pregnant from 20 weeks to 28 weeks. Surgical treatment; Investigate patient satisfaction with surgery. Results The mean length of hospital stay in laparoscopic surgery group was (4.0 ± 2.5) days and that in open laparoscopic surgery group was (12.5 ± 2.4) days, the difference was statistically significant (P <0.05). The incidence of threatened abortion was 6.8% in laparoscopic surgery group and 33.3% in open surgery group, the difference was statistically significant (P <0.05). The satisfaction rate after laparoscopic surgery was 95.5%, and the satisfaction rate after laparotomy was 57.1%, the difference was statistically significant (P <0.05). Conclusions Patients with mid-pregnancy complicated with appendicitis should choose the appropriate surgical treatment, and early laparoscopic surgery can better improve the prognosis of patients.