开腹和腹腔镜阑尾切除术治疗妊娠期急性阑尾炎的对照研究

目的 比较开腹阑尾切除术（open appendectomy,OA）和腹腔镜阑尾切除术（laparoscopic appendectomy,LA）治疗妊娠期急性阑尾炎的安全性及疗效.方法 回顾性分析我院2008年1月至2013年1月收治的68例妊娠早、中期急性阑尾炎的临床资料,其中OA组36例,LA组32例,并进行比对分析.结果 两组病例手术均顺利完成,OA组和LA组在妊娠相关并发症发生率上无明显差异（P＞0.05）;而在术后肛门排气时间、住院时间及术后并发症上,LA组均明显优于OA组,差异有统计学意义（P＜0.05）.结论 LA治疗妊娠早、中期急性阑尾炎是安全可行的,具有创伤小、术后恢复快、并发症少等优点.

Controlled studies of open and laparoscopic appendectomy for acute appendicitis in pregnancy

Objective To compare the safety and efficacy of open appendectomy（OA） and laparoscopic appendectomy（LA） for acute appendicitis in pregnancy.Methods The clinical data of 68 patients with acute appendicitis in early and interim pregnancy in our hospital were analyzed retrospectively from January 2008 to January 2013,including 36 cases of OA and 32 cases of LA.Results The operations of the two groups were performed successfully.There was no significant difference in the incidence of pregnancy-related complications between OA and LA group（P ＞0.05）,but there were significant differences in postoperative flatus and complications and hospital stay between OA and LA group（P ＜ 0.05）.Conclusion Laparoscopic appendectomy is a safe and effective treatment for acute appendicitis in early and interim pregnancy,which has advantages of less trauma,faster recovery and fewer complications.