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胆囊疾病是常见病,仅次于阑尾炎,由于易发生流产或早产,曾建议妊娠期尽量不做胆囊切除术。近年来由于新技术和产前护理的发展,可以更改上述建议。作者从4家医院自1982～1987年43222例妇产中回顾性分析同时伴有胆道疾患者22例的病史记录,其中第一次入院时平均孕期为23.4周,属妊娠首期3月、中期3月和末期3月分别为5例、9例和8例;住院1次16例,2次3例,3次2例和4次1例。9例进行胆囊手术,其中6例系第1次入院时施行的。在9例手术中,属妊娠首期3月、中期3月和末期3月者分别占2例、4例和3例。均作胆囊切除术,其中3例还探查了胆总管,3例术中进行了胆道造影。不因 X 线照射而建议择期性流产。1例35周孕期妇女因持续胆绞痛在剖腹产后即作胆囊切除术。2例伴
Gallbladder disease is a common disease, second only to appendicitis, due to prone to miscarriage or premature birth, had recommended that during pregnancy should not do cholecystectomy. In recent years due to the development of new technologies and prenatal care, the above suggestions can be changed. The authors retrospectively analyzed the history of 22 cases with concurrent biliary tract disease from 43222 maternity and abortion cases in 4 hospitals from 1982 to 1987. The average first trimester hospitalization was 23.4 weeks and the first trimester of pregnancy was in March and the second trimester March and the end of March were 5 cases, 9 cases and 8 cases; 1 hospitalized in 16 cases, 2 cases in 3 cases, 3 times in 2 cases and 4 times in 1 case. Nine patients underwent gallbladder surgery, of which 6 were performed on admission 1. In 9 cases of surgery, the first trimester of pregnancy, mid-March and late March accounted for 2 cases, 4 cases and 3 cases. All were cholecystectomy, of which 3 cases were also explored the common bile duct, 3 cases of intraoperative cholangiography. Not because of X-ray and recommended elective abortion. One 35-week-old woman undergoing cholecystectomy after a continuous caesarean section due to persistent biliary colic. 2 cases with