Malinowski Marian Lech, Pisarek-Miedzińiska Danuta
Szpital Wolski w Warszawie.
Ginekol Pol. 2009 Jul;80(7):523-7.
Diseases of the abdomen (cholecystitis, appendicitis, adnexal masses), although they rarely occur during pregnancy, pose a threat both to the gravid women and the fetus. We attempt to systemize current knowledge on the topic and to outline some diagnostic and therapeutic trends. Appendicitis is very difficult to diagnose during pregnancy. If the diagnosis is set, appendectomy should not be postponed. Diagnostic methods (ultrasonography and others) are useful in the diagnosis of adnexal masses and cholecystitis, while in case of cholecystolithiasis, the typical symptoms are similar to those occurring before pregnancy. Platk's at all algorithm, together with Nowak's at all modifications, may be used in the treatment of adnexal masses. However, the type of inflammation, the response to conservative treatment and the number of relapses have a great influence on the choice of cholecystitis treatment (conservative vs. surgical). In any of the above situations it is also very important to state the most safe stage of the pregnancy to make the operation. In the event of direct threat to the mother and/or fetus, surgical intervention should be conducted regardless of the stage of pregnancy.
腹部疾病（胆囊炎、阑尾炎、附件肿物）虽然在孕期很少发生，但对孕妇和胎儿均构成威胁。我们试图梳理该主题的现有知识，并概述一些诊断和治疗趋势。阑尾炎在孕期很难诊断。一旦确诊，阑尾切除术不应推迟。诊断方法（超声检查等）对附件肿物和胆囊炎的诊断有用，而对于胆囊结石，典型症状与妊娠前出现的症状相似。普拉特的全算法以及诺瓦克的所有改良算法可用于附件肿物的治疗。然而，炎症类型、对保守治疗的反应以及复发次数对胆囊炎治疗方式（保守治疗与手术治疗）的选择有很大影响。在上述任何情况下，确定最安全的手术孕周也非常重要。如果对母亲和/或胎儿有直接威胁，无论妊娠处于何阶段均应进行手术干预。
