CAJ | 학술논문

目的：探讨两种治疗方法治疗妊娠合并阑尾炎对母婴的影响。方法选择31例妊娠合并阑尾炎患者随机分为观察组(n=23)和对照组(n=8)，观察组行手术切除治疗，对照组采用保守治疗，比较2组患者的临床疗效。结果观察组23例行手术切除治疗，其中4例流产，2例早产，17例继续妊娠后正常分娩，术后无明显并发症；对照组8例行保守治疗，5例治疗失败后化脓穿孔，转为手术治疗，其中1例流产，1例胎儿死亡，其余6例继续妊娠后正常分娩。结论妊娠合并阑尾炎起病急，疾病进展迅速，对母婴危害极大，一旦确诊后应立即进行手术治疗。
목적：탐토량충치료방법치료임신합병란미염대모영적영향。방법선택31례임신합병란미염환자수궤분위관찰조(n=23)화대조조(n=8)，관찰조행수술절제치료，대조조채용보수치료，비교2조환자적림상료효。결과관찰조23례행수술절제치료，기중4례유산，2례조산，17례계속임신후정상분면，술후무명현병발증；대조조8례행보수치료，5례치료실패후화농천공，전위수술치료，기중1례유산，1례태인사망，기여6례계속임신후정상분면。결론임신합병란미염기병급，질병진전신속，대모영위해겁대，일단학진후응립즉진행수술치료。
Objective To investigate the impact on maternal and child of two treatment methods for treating pregnant women with appendicitis. Methods 31 patients with appendicitis in pregnancy were divided into observation group (23 cases) and control group (8 cases), observation group underwent surgical resection, the control group with conservative treatment, compare the clinical efifcacy of two groups. Results 23 routine surgical removal of the treatment group, including 4 cases of abortion, 2 cases of premature delivery, 17 cases normal delivery after continue the pregnancy, there were no significant complications; 8 patients in the control group of conservative treatment, 5 cases after treatment failure suppuration perforation, converted to surgery, among them 1 case of miscarriage, 1 case of fetal death.The rest of the 6 cases normal delivery after continue the pregnancy. Conclusion Pregnancy with appendicitis not only is acute onset and disease progress rapidly, but also have great harm on the mother and child, once conifrmed by surgical treatment immediately.