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为引导一种对妊娠期急性阑尾炎的正确理解,摆脱目前文献报道中对此种疾病诊断上的困境,对1986年1月1日～1995年12月31日间于亚利桑那州Good Smaritan医疗中心分娩的病历记录进行回顾性研究,从中收集资料数据,并选择性地对患者的孕龄、症状和体征、合并症包括先兆早产、早产、阑尾破裂穿孔以及阑尾炎的组织学诊断进行了整理和回顾。 十年间共66 993例孕妇分娩,67例(0.1％)术前诊断可疑性阑尾炎。其中,经组织学诊断45例(67％),即妊娠期阑尾炎的发病率为1:1 493。与非妊娠妇女的阑尾炎诊断假阳性率15％相比,妊娠期阑尾炎假阳性率约为30％。孕妇中
To guide a correct understanding of acute appendicitis in pregnancy, to get rid of the current literature on the diagnosis of this predicament, on January 1, 1986 ~ December 31, 1995 at the Good Smaritan Medical Center in Arizona delivery The medical records were collected retrospectively. The data were collected and the histological diagnosis of patients’ gestational age, symptoms and signs, comorbidities including threatened preterm birth, premature birth, appendectomy perforation and appendicitis were selectively reviewed and reviewed. A total of 66,993 pregnant women delivered during the past 10 years, and 67 cases (0.1%) diagnosed suspicious appendicitis preoperatively. Among them, histological diagnosis of 45 cases (67%), that the incidence of appendicitis in pregnancy was 1: 1 493. The false-positive rate of appendicitis in pregnancy was about 30% compared with 15% in the diagnosis of appendicitis in nonpregnant women. In pregnant women