孕期腹腔镜与开放性尾切除术对孕妇和胎儿的结果的比较

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Ayşe Zehra Özdemir¹, İsmail Alper Tarim², Murat Derebey²

¹Obstetrics-Gynecology Department, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.

|September 24, 2025

概括

怀孕妇女的腹腔镜尾切除术 (LA) 没有显示过早分娩,与开放手术 (LAA) 不同,开放手术的发生率为24.4%. 在特定的怀孕中,LA似乎是安全的,但需要进行更大规模的研究.

科学领域:

产科和妇科产科和妇科
手术瘤学手术瘤学
孕产妇和胎儿医学孕产妇和胎儿医学

背景情况:

怀孕期间的急性尾炎对母亲和胎儿都有风险.
外科干预包括腹腔镜尾切除术 (LA) 和开放腹腔镜尾切除术 (LAA).

研究的目的:

为了比较LA与LAA在孕妇患者中的优点和缺点.
评估手术技术对母亲和胎儿的结果的影响.

主要方法:

在2015-2025年期间,对56名被诊断患有尾炎的孕妇进行了回顾性研究.
比较了15个LA和41个LAA病例之间的结果,不包括那些有先前存在的妊娠并发症的人.

主要成果:

在LA组中没有发生过早分娩,而LAA组的出生率为24.4% (P=.035).
两组之间在妊娠年龄,Apgar分数或出生体重方面没有发现显著差异.
新生儿参数在LA和LAA组之间是可比的.

结论:

腹腔镜尾切除术 (LA) 是针对某些患有尾炎的孕妇的一种安全的手术选择.
该研究强调了LA在降低早产率方面的潜在好处.
建议进一步进行大规模的多中心研究来验证这些发现.

关键词:

腹腔镜尾切除术腹腔镜尾切除术腹腔切除术尾切除术怀孕怀孕怀孕怀孕怀孕

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