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孕期阑尾的位置:会发生变化吗?

Location of appendix in pregnancy: does it change?

作者信息

Ishaq Aliya, Khan Muhammad Jamshaid Husain, Pishori Turab, Soomro Rufina, Khan Shadab

机构信息

Department of General Surgery, Liaquat National University Hospital, Karachi, Pakistan,

Department of Medicine, Dubai Hospital, Dubai, UAE.

出版信息

Clin Exp Gastroenterol. 2018 Jul 26;11:281-287. doi: 10.2147/CEG.S154913. eCollection 2018.

DOI:10.2147/CEG.S154913
PMID:30100748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6065566/
Abstract

OBJECTIVES

This study aimed to determine the change in anatomical location of appendix in full-term pregnancy.

STUDY DESIGN

This was a descriptive cross-sectional study.

PLACE AND DURATION OF STUDY

Liaquat National University Hospital, Karachi, Pakistan, Department of General Surgery, January 01 to July 31, 2010.

PATIENTS AND METHODS

Full-term pregnant women undergoing caesarean section were enrolled. The anatomical position of the appendix was noted by visual inspection with reference to the transtubercular plane (TTP). SPSS-10 was used for analysis.

RESULTS

Seventy-seven full-term pregnant female patients who underwent caesarean section were included in the study. Their mean age was 29 years, the mean height was 5.3 feet, and mean gestational age was 38 weeks. Appendix was found at the normal anatomical location in 63 out of 77 patients (81.8%), while it was located above the TTP in 14 patients (18.2%).

CONCLUSION

Appendix does not migrate up with increasing gestational age in the majority of pregnant women. In most full-term pregnant female patients, appendix is located at the normal anatomical position.

摘要

目的

本研究旨在确定足月妊娠时阑尾解剖位置的变化。

研究设计

这是一项描述性横断面研究。

研究地点和时间

巴基斯坦卡拉奇利亚卡特国立大学医院普通外科,2010年1月1日至7月31日。

患者与方法

纳入行剖宫产的足月孕妇。通过参照耻骨结节平面(TTP)目视检查记录阑尾的解剖位置。使用SPSS - 10进行分析。

结果

77例行剖宫产的足月妊娠女性患者纳入研究。她们的平均年龄为29岁,平均身高为5.3英尺,平均孕周为38周。77例患者中有63例(81.8%)阑尾位于正常解剖位置,14例(18.2%)阑尾位于耻骨结节平面上方。

结论

大多数孕妇的阑尾不会随着孕周增加而上移。在大多数足月妊娠女性患者中,阑尾位于正常解剖位置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6061/6065566/0047f3e34588/ceg-11-281Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6061/6065566/5a8585305248/ceg-11-281Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6061/6065566/5eda5915e34b/ceg-11-281Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6061/6065566/0047f3e34588/ceg-11-281Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6061/6065566/5a8585305248/ceg-11-281Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6061/6065566/5eda5915e34b/ceg-11-281Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6061/6065566/0047f3e34588/ceg-11-281Fig3.jpg

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JAMA Surg. 2017 May 1;152(5):436-441. doi: 10.1001/jamasurg.2016.5045.
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WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis.WSES耶路撒冷急性阑尾炎诊断与治疗指南。
World J Emerg Surg. 2016 Jul 18;11:34. doi: 10.1186/s13017-016-0090-5. eCollection 2016.
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Acute appendicitis in pregnancy: literature review.妊娠期急性阑尾炎:文献综述
Emerg Med Int. 2020 Sep 15;2020:6039862. doi: 10.1155/2020/6039862. eCollection 2020.
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Which appendicitis scoring system is most suitable for pregnant patients? A comparison of nine different systems.哪种阑尾炎评分系统最适合孕妇?九种不同系统的比较。
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Laparoscopic appendicectomy in pregnancy: a systematic review of the published evidence.腹腔镜阑尾切除术在妊娠中的应用:系统评价已发表证据。
Int J Surg. 2014 Nov;12(11):1235-41. doi: 10.1016/j.ijsu.2014.08.406. Epub 2014 Sep 9.
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Risk of acute appendicitis in and around pregnancy: a population-based cohort study from England.妊娠期间及前后急性阑尾炎风险:来自英格兰的一项基于人群的队列研究。
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Appendicitis during Pregnancy: The Clinical Experience of a Secondary Hospital.妊娠期阑尾炎:一家二级医院的临床经验
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Appendectomy in pregnancy: evaluation of the risks of a negative appendectomy.妊娠阑尾切除术:评估阴性阑尾切除术的风险。
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