Jung Soo Jung, Lee Do Kyung, Kim Jun Hyun, Kong Pil Sung, Kim Kyung Ha, Bae Sung Woo
Department of Surgery, Busan St. Mary's Medical Center, Busan, Korea.
J Korean Soc Coloproctol. 2012 Jun;28(3):152-9. doi: 10.3393/jksc.2012.28.3.152. Epub 2012 Jun 30.
Appendicitis is the most common condition leading to an intra-abdominal operation for a non-obstetric problem in pregnancy. The aim of this study was to examine our experience and to analyze the clinical characteristics and the pregnancy outcomes for appendicitis during pregnancy that was reported in Korea.
We reported 25 cases of appendicitis during pregnancy that were treated at Good Moonhwa Hospital from January 2004 to March 2010. We also analyzed appendicitis during pregnancy reported in Korea between 1970 and 2008 by a review of journals.
The incidence of acute appendicitis during pregnancy was one per 568 deliveries. The mean age was 27.92 years old, the gestational stage at the onset of symptoms was the first trimester in 10 patients (40%), the second trimester in 14 patients (56%), and the third trimester in 1 patient (4%). Among the 25 cases, 21 were treated with an open appendectomy and 4 with laparoscopic appendectomies. The postoperative complications were 2 wound infections and 1 spontaneous abortion.
Our experience demonstrated that appendectomies on pregnant patients can be successfully performed at secondary hospitals.
阑尾炎是孕期非产科问题导致腹腔内手术最常见的病症。本研究旨在探讨我们的经验，并分析韩国报道的孕期阑尾炎的临床特征和妊娠结局。
我们报告了2004年1月至2010年3月在Good Moonhwa医院治疗的25例孕期阑尾炎病例。我们还通过期刊回顾分析了1970年至2008年韩国报道的孕期阑尾炎病例。
孕期急性阑尾炎的发病率为每568例分娩中有1例。平均年龄为27.92岁，症状出现时的孕周，孕早期有10例患者（40%），孕中期有14例患者（56%），孕晚期有1例患者（4%）。25例病例中，21例行开腹阑尾切除术，4例行腹腔镜阑尾切除术。术后并发症为2例伤口感染和1例自然流产。
我们的经验表明，二级医院能够成功地为孕妇实施阑尾切除术。
