CAJ | 학술논문

目的：观察分析妊娠合并胆囊炎、胆石症的临床治疗效果。方法保守治疗（包括禁食，应用抗生素，胃肠减压，促进胆汁排泄药物等）。手术治疗：胆囊切除及胆总管引流术，足月妊娠病例先行剖宫产术，随即行胆囊切除，胆总管探查术。结果本组32例无孕妇及胎儿死亡；保守治疗27例，先兆流产4例，先兆早产3例，手术治疗5例，无切口感染，腹壁疝等并发症。结论对于妊娠合并胆囊炎及胆石症，根据孕期不同，选择分别保守治疗与手术治疗相结合，可以降低流产率、早产率及死亡率。
목적：관찰분석임신합병담낭염、담석증적림상치료효과。방법보수치료（포괄금식，응용항생소，위장감압，촉진담즙배설약물등）。수술치료：담낭절제급담총관인류술，족월임신병례선행부궁산술，수즉행담낭절제，담총관탐사술。결과본조32례무잉부급태인사망；보수치료27례，선조유산4례，선조조산3례，수술치료5례，무절구감염，복벽산등병발증。결론대우임신합병담낭염급담석증，근거잉기불동，선택분별보수치료여수술치료상결합，가이강저유산솔、조산솔급사망솔。
Objective To observe the pregnancy with cholecystitis,cholelith disease clinical therapeutic effect.MethodsConservative treatment(including fast, and use of antibiotics,gastrointestinal decompression,stimulative bile excretion drugs,etc.). Operative treatment,resection of the galbladder and common bile duct drainage,cases first ful-term pregnancy cesarean section,then galbladder excision,common bile duct exploration. Results 32 cases pregnant women and fetal deaths,conservative treatment of 27 cases,4 cases were threatened abortion,precursor 3 cases of premature,surgical treatment in 5 cases,no incision infection,complications such as abdominal wal hernia. Conclusion For pregnancy with cholecystitis and galstone disease,according to the different during pregnancy,choose conservative treatment combined with surgical treatment respectively,and can decrease the rate of miscarriage,premature birth rate and mortality.