Service de chirurgie générale, faculté de médecine de Tunis, hôpital Mongi Slim, Sidi Daoued La Marsa, Tunisia.
J Visc Surg. 2012 Aug;149(4):e275-9. doi: 10.1016/j.jviscsurg.2012.06.003. Epub 2012 Jun 28.
Acute appendicitis is the most frequent surgical emergency arising during pregnancy. Definitive diagnosis is often difficult. The therapeutic options remain the same, i.e. appendectomy.
We present a series of 29 pregnant women who underwent surgery for acute appendicitis over a period of 10 years. The mean age was 28.6 years. Mean gravidity was 1.75 and mean parity was 0.84. The average period of gestation was 18 weeks and 5 days since the last menses. Seven patients underwent surgery during the 1st trimester, 15 during the 2nd trimester, and seven during the 3rd trimester. Eighteen patients underwent appendectomy through a laparoscopic approach and 11 through a McBurney incision.
The postoperative course was uncomplicated in 27 patients. Two patients miscarried in the week following surgery.
Acute appendicitis puts both maternal and fetal prognosis at risk. Management should be prompt and undertaken by a multidisciplinary team approach. Morbidity and mortality are not negligible.
急性阑尾炎是妊娠期最常见的外科急症。明确诊断往往很困难。治疗选择仍然是相同的，即阑尾切除术。
我们报告了 10 年来因急性阑尾炎接受手术的 29 例孕妇。平均年龄为 28.6 岁。平均孕次为 1.75，平均产次为 0.84。末次月经后平均妊娠 18 周零 5 天。7 例患者在孕早期、15 例在孕中期和 7 例在孕晚期接受手术。18 例患者通过腹腔镜手术和 11 例通过 McBurney 切口进行阑尾切除术。
27 例患者术后恢复顺利。术后一周内有 2 例流产。
急性阑尾炎使母婴预后都面临风险。管理应该迅速，并通过多学科团队方法进行。发病率和死亡率不容忽视。
