低压力气腹腹腔镜阑尾切除术治疗妊娠早中期阑尾炎13例

目的探讨低压力气腹下腹腔镜在妊娠早、中期阑尾炎手术中的应用价值。方法对我院2007年7月至2010年12月间13例妊娠早、中期急性阑尾炎采用低压力气腹腹腔镜阑尾切除术患者的临床资料进行回顾性分析。结果13例患者均顺利完成手术，无中转开腹，均治愈出院。无肠瘘、切口感染、流产等并发症。9例足月妊娠分娩患者，随访婴儿无异常；4例仍处于妊娠期的孕妇无流产及早产表现。结论妊娠早、中期急性阑尾炎患者行低压力气腹腹腔镜阑尾切除术，减小了手术操作对子宫的刺激，降低了流产的概率。

Analysis of 13 cases of low-pressure laparoscopic appendectomy during pregnancy

Objective To investigate the value of low-pressure laparoscopic technique for appendicitis surgery during early and midT-term pregnancy. Methods The clinical data of 13 pregnant women underwent low- pressure laparoscopic appendectomy from July 2007 to December 2010 were analyzed retrospectively. Results All the 13 cases were performed laparoscopic appendectomy successfully without laparotomy and cured completely before discharged from hospital. No intestinal fistula, wound infection, abo~ion and other complications occurred. During follow-up ,9 cases of full-term pregnancy patients gave birth to healthy babies, and there was no abortion and premature delivery on 4 patients still in their pregnancy. Conclusion For women at early or mid-term pregnancy with acute appendicitis, low-pressure laparoscopic appendectomy could reduce the stimulus of surgical operation on uterus and decrease the risk of abortion.