Popkin Charles A, Lopez Peter P, Cohn Stephen M, Brown Margaret, Lynn Mauricio
Divisions of Trauma and Surgical Critical Care, Department of Surgery, University of Miami School of Medicine, 1800 NW 10th Ave., Suite T-227, Miami, FL 33136, USA.
Am J Surg. 2002 Jan;183(1):20-2. doi: 10.1016/s0002-9610(01)00842-x.
There is uncertainty over the optimal incision for gravid patients with appendicitis.
Data were collected retrospectively from January 1, 1995, through December 31, 2000, on 374 women of childbearing age who underwent appendectomies. Of these, 23 gravid patients were evaluated.
Eighteen incisions were made over McBurney's point and five were created superior to McBurney's point. Patients in the third trimester of pregnancy all received incisions over McBurney's point. The appendix was located without difficulty in all 4 of the third trimester patients. The appendix was easily located in 94% of the incisions made through McBurney's point and 80% of the incisions made above McBurney's point.
Our clinical experience indicates that the incision for the removal of the appendix in pregnant patients in all trimesters can be successfully made over McBurney's point.
对于患有阑尾炎的孕妇，最佳切口存在不确定性。
回顾性收集1995年1月1日至2000年12月31日期间接受阑尾切除术的374名育龄妇女的数据。其中，对23名孕妇进行了评估。
18个切口在麦氏点上方进行，5个切口在麦氏点上方进行。妊娠晚期的患者均在麦氏点上方进行切口。所有4名妊娠晚期患者的阑尾均顺利找到。通过麦氏点进行的切口有94%能轻松找到阑尾，在麦氏点上方进行的切口有80%能轻松找到阑尾。
我们的临床经验表明，妊娠各期孕妇阑尾切除的切口均可成功在麦氏点上方进行。
