孕期腹腔镜手术及麻醉风险：产科医生需要了解什么？
Laparoscopic procedures during pregnancy and the risks of anesthesia: what does an obstetrician need to know?
作者信息
Kuczkowski Krzysztof M
机构信息
Department of Anesthesiology, University of California San Diego (UCSD) Medical Center, 200 W. Arbor Drive, San Diego, CA 92103-8770, USA.
出版信息
Arch Gynecol Obstet. 2007 Sep;276(3):201-9. doi: 10.1007/s00404-007-0338-0. Epub 2007 Mar 13.
BACKGROUND
Nonobstetric surgery may be necessary during any stage of gestation.
METHODS
The purpose of this article is to review the current recommendations (using Medline search for the relevant publications) for the perioperative anesthetic management of pregnant women undergoing laparoscopy for indications unrelated to pregnancy.
RESULTS
The current estimates of the incidence of nonobstetric surgery in pregnancy range from 1% to 2%. Laparoscopy is the most common surgical procedure performed in the first trimester of pregnancy, whereas appendectomy is the most common procedure performed during the remainder of pregnancy.
CONCLUSIONS
In the past pregnancy was considered as an absolute contraindication to laparoscopy. However, recent years have brought an extensive experience with this technique during gestation.
背景
在妊娠期的任何阶段都可能需要进行非产科手术。
方法
本文旨在回顾当前（通过医学文献数据库检索相关出版物）针对因与妊娠无关的适应证而接受腹腔镜检查的孕妇围手术期麻醉管理的建议。
结果
目前对妊娠期非产科手术发生率的估计在1%至2%之间。腹腔镜检查是妊娠早期最常进行的外科手术，而阑尾切除术是妊娠其余阶段最常进行的手术。
结论
过去，妊娠被视为腹腔镜检查的绝对禁忌证。然而，近年来在妊娠期应用该技术已积累了丰富经验。
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