论文部分内容阅读
目的:探讨妊娠晚期并发急性阑尾炎最佳手术方式及时机的综合研究。方法:收集2012年1月至2014年9月来我院就诊的妊娠晚期并发急性阑尾炎患者424例,随机分为A、B、C、D四组,每组106例。A组给予腹腔镜急诊手术治疗,B组给予腹腔镜延迟手术,C组给予开腹急诊手术治疗,D组给予开腹延迟手术治疗,观察各组患者的疗效差异。结果:A组不良妊娠结局以及并发症发生率要小于B、C、D三组,其中D组的发生率最高,上述差异分别经t检验或卡方检验两两比较,差异均有统计学意义(P<0.05);B组和C组不良妊娠结局以及并发症发生率相近,差异均无统计学意义(P>0.05)。结论:对妊娠晚期并发急性阑尾炎患者采取腹腔镜手术预后优于开腹手术,并且急诊手术优于延迟手术,其中腹腔镜急诊手术效果最佳。
Objective: To investigate the comprehensive study of the best surgical method and opportunity for acute appendicitis in late pregnancy. Methods: A total of 424 patients with acute third trimester of pregnancy complicated with acute appendicitis who were admitted to our hospital from January 2012 to September 2014 were randomly divided into four groups (A, B, C and D), 106 cases in each group. Group A received laparoscopic emergency surgery, Group B received delayed laparoscopic surgery, Group C received open emergency surgery, Group D received open laparotomy and observed differences in the efficacy of each group of patients. Results: The incidence of adverse pregnancy outcomes and complications in group A were less than those in groups B, C and D, with the highest incidence in group D. The differences were statistically significant by t-test or chi-square test (P <0.05). The incidences of adverse pregnancy and complications in group B and group C were similar, but the difference was not statistically significant (P> 0.05). Conclusions: The prognosis of laparoscopic surgery in patients with acute third trimester pregnancy is better than laparotomy, and emergency surgery is superior to delayed surgery. Laparoscopic emergency surgery is the best.