Hunt M G, Martin J N, Martin R W, Meeks G R, Wiser W L, Morrison J C
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson 39216-4505.
Am J Perinatol. 1989 Oct;6(4):412-7. doi: 10.1055/s-2007-999628.
Surgical interventions for nonobstetric reasons during pregnancy are reported to occur in 0.2% to 2.2% of all gestations with obvious perinatal implications. In this retrospective study, 57 parturients were identified who underwent nonobstetric abdominal surgery. Thirty-one patients underwent exploratory celiotomy for suspected appendicitis, 16 for adnexal disease other than ectopic pregnancy, six for cholecystectomy, three for intestinal disorders, and one with a pheochromocytoma. Alterations in disease expression are related to the severity of the disease and advancing gestational age, being more important in cases of appendicitis. Preterm labor reflecting fetal morbidity relates to the presence of peritonitis and then only during the third trimester. In this retrospective study, tocolysis with intravenous magnesium sulfate had an uncertain effect on the incidence of preterm delivery. Prospective studies will be required to assess the indications and limitations of tocolysis for nonobstetric abdominal surgical conditions.
据报道，孕期因非产科原因进行的手术干预在所有妊娠中占0.2%至2.2%，对围产期有明显影响。在这项回顾性研究中，确定了57例接受非产科腹部手术的产妇。31例患者因疑似阑尾炎接受了剖腹探查术，16例因异位妊娠以外的附件疾病接受手术，6例接受胆囊切除术，3例因肠道疾病接受手术，1例患有嗜铬细胞瘤。疾病表现的改变与疾病的严重程度和孕周增加有关，在阑尾炎病例中更为重要。反映胎儿发病率的早产与腹膜炎的存在有关，且仅在妊娠晚期出现。在这项回顾性研究中，静脉注射硫酸镁进行宫缩抑制对早产发生率的影响尚不确定。需要进行前瞻性研究来评估宫缩抑制在非产科腹部手术情况下的适应证和局限性。
