怀孕期间的尾炎,与非怀孕患者相比,穿孔率更高
Mary Beth Janicki1,2,3, Reinaldo Figueroa1,2, Dorothy Wakefield4
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Trinity Health of New England, Saint Francis Hospital and Medical Center, Hartford, CT, USA.
与非孕妇相比,怀孕的尾炎患者经历了延迟治疗和更高的穿孔率,尽管最初的症状类似. 这凸显了对孕妇患者及时诊断和干预的关键需求.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 产科和妇科 产科和妇科
背景情况:
- 尾炎是一种常见的手术紧急情况.
- 在孕妇患者中,由于解剖和生理变化,诊断和治疗可能会复杂.
- 怀孕期间的诊断延迟可能会导致母亲和胎儿的不良结果.
研究的目的:
- 为了比较临床表现和诊断评估的尾炎在孕妇与非孕妇患者.
- 为了确定这两个群体之间的尾炎治疗和结局的差异.
- 旨在为临床实践提供信息,并改善怀孕期间怀疑尾炎的孕妇的护理.
主要方法:
- 进行了一项回顾性病例控制研究,比较了12名怀孕患者和60名年龄相匹配的非怀孕患者,这些患者因确诊的急性尾炎而接受了尾切除术.
- 收集的数据包括母亲的特征,实验室结果,体检结果,诊断工作,手术方式和手术结果.
- 进行了统计分析,以确定怀孕和非怀孕组之间的显著差异.
主要成果:
- 在孕妇和非孕妇患者中,症状概况和疼痛强度相似.
- 孕妇患者更有可能出现右上象限疼痛,并接受多种成像方式.
- 对于孕妇患者来说,从呈现到手术和抗生素的时间明显更长 (长两倍),穿孔率更高 (25%vs3.3%).
结论:
- 尽管最初的表现相似,但患有尾炎的孕妇患者面临诊断和治疗延迟.
- 这些延迟有助于孕妇中尾穿孔的发病率较高.
- 优化诊断途径和及时的手术干预对于改善尾炎孕妇患者的治疗结果至关重要.
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