Kort B, Katz V L, Watson W J
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill.
Surg Gynecol Obstet. 1993 Oct;177(4):371-6.
The clinical course and pregnancy outcome of all patients undergoing extensive nonobstetric operation during pregnancy during a ten-year period was reviewed. During this time, there were 49,567 births and 78 women had nonobstetric operation; an incidence of one in 635. The most common indications for surgical treatment were appendicitis, adnexal mass and cholecystitis. The perinatal mortality rate was not increased in women undergoing nonobstetric operation, provided that fetal viability was established preoperatively. In this series, there was no measurable benefit from the use of perioperative prophylactic tocolytic agents. However, nonobstetric operation was associated with an increased risk of preterm labor. Postoperatively, patients should be monitored for contractions and treated with tocolytic agents when appropriate.
回顾了十年间所有孕期接受广泛非产科手术患者的临床病程及妊娠结局。在此期间，共分娩49567例，78名妇女接受了非产科手术，发病率为1/635。手术治疗最常见的指征是阑尾炎、附件肿物和胆囊炎。如果术前确定胎儿存活，接受非产科手术的妇女围产儿死亡率不会增加。在本系列研究中，围手术期使用预防性宫缩抑制剂未显示出可衡量的益处。然而，非产科手术与早产风险增加相关。术后，应监测患者是否有宫缩，并在适当的时候使用宫缩抑制剂进行治疗。
