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不同时间手术治疗妊娠合并急性阑尾炎的效果比较 被引量:5

Comparison of Operations at Different Time Points for Acute Appendicitis during Pregnancy
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摘要 目的为妊娠合并急性阑尾炎的患者寻找合适的手术时间。方法 93例妊娠合并急性阑尾炎的患者根据手术时间分成研究组49例和对照组44例。研究组在发病的24 h内进行手术;对照组在发病的24 h后进行手术。对比2组手术时间、术中出血量、住院时间及并发症发生率。结果研究组手术时间、术中出血量、住院时间及并发症发生率分别为(72.35±11.42)min、(134.81±22.67)mL、(6.53±1.83)d和6.12%,对照组手术时间、术中出血量、住院时间及并发症发生率分别为(94.36±12.53)min、(156.93±28.78)mL、(8.07±1.95)d和20.45%,2组比较差异均有统计学意义(均P<0.05)。结论妊娠合并急性阑尾炎的患者早期行手术治疗的效果优于晚期。 Objective To investigate the appropriate time point for operation in patients with acute appendicitis during pregnancy. Methods Ninety -three patients with acute appendicitis during pregnancy randomly received operation within 24 hours after onset(study group, n=49)or after 24 hours (control group, n=44). The operation time, intraoperative blood loss, hospital stay and complications were compared between the two groups. Results The operation time, intraoperative blood loss, length of hospital stay and incidence of complications were, respectively, (72.35±11.42) min, (134.81±22.67) mL, (6.53±1.83) d and 6.12%in study group, and (94.36±12.53) min, (156.93±28.78) mL, (8.07±1.95) d and 20.45%in control group. The differences were significant between the two groups (P〈0.05). Conclusion Early surgery is superior to late surgery for treating acute appendicitis during pregnancy.
作者 史浩
出处 《实用临床医学(江西)》 CAS 2014年第6期36-37,共2页 Practical Clinical Medicine
关键词 妊娠并发症 急性阑尾炎 手术 手术时机 pregnancy complications acute appendicitis operation operation timing
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