联合应用降钙素原、C-反应蛋白和白细胞计数在妊娠合并急性阑尾炎治疗中的应用价值

张朝锋1 , 2 ，任宏1*

（1.西安交通大学第一附属医院胸外2 科，陕西 西安，710061；2.宝鸡市妇幼保健院普外科，陕西 宝鸡，721000）

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摘要：

目的 探讨血清降钙素原（PCT）、C-反应蛋白（CRP）和白细胞计数（WBC）联合应用对妊娠合并急性阑尾炎中的临床价值。 方法 回顾2009 年3 月至2015 年2 月收治的81 例妊娠合并急性阑尾炎患者资料，收集PCT、CRP、WBC 三项指标检测结果和治疗用药、母婴并发症情况，并进行分析。结果 单纯性阑尾炎（SA）24 例，化脓性阑尾炎（PA）37 例，坏疽穿孔性阑尾炎（GA）11 例，阑尾周围脓肿（AA）9 例。这4 种病理类型的PCT、CRP、WBC 检测结果比较，差异具有统计学意义（P<0.05）。81 例 患者中切口感染率为3.7%（3/81），无腹腔残余脓肿、下肢静脉血栓等其他手术并发症，胎儿丢失率为2.7%（2/74）。结论 联合应用PCT、CRP、WBC 三项指标对妊娠合并急性阑尾炎的病理分型、治疗策略以及减少母婴并发症具有重要指导意义。

关键词：降钙素原；C-反应蛋白；妊娠合并急性阑尾炎

中图分类号：R714文献标志码：A文章编号：2096-1413(2018)06-0013-03

Application value of PCT combined with CRP and WBC in the treatment of pregnancy with acute appendicitis
ZHANG Chao-feng1, 2, REN Hong1 *
(1. the Second Thoracic Surgery Department, the First Affiliated Hospital of Xi``an Jiaotong University, Xi``an 710061; 2. General Surgery Department, Baoji Maternal and Children Health Hospital, Baoji 721000, China)

ABSTRACT: Objective To explore the application value of PCT combined with CRP and WBC in the treatment of pregnancy complicated with actue appendicitis. Methods The clinical data of eighty-one cases of pregnancy complicated with acute appendicitis from March 2009 to February 2015 were collected. The data including three test indexes of PCT, CRP, WBC and treatment, maternal and infant complications were analyzed. Results There were 24 cases of simple appendicitis (SA), 37 cases of suppurative appendicitis (PA), 11 cases of gangrene perforated appendicitis (GA), 9 cases of abscess around the appendix (AA) among them. The differences in the detection results of PCT, CRP and WBC in the 4 kinds of pathological types were statistically significant (P<0.05). The incisional infection rate was 3.7% (3/81) in 81 patients. There were no abdominal residual abscess, lower extremity venous thrombosis and other complications. The fetal loss rate was 2.7% (2/74). Conclusion The PCT combined with CRP and WBC in the treatment of pregnancy with acute appendiciti has important guiding significance for evaluating the pathological classification, the treatment strategy and reducing maternal and infant complicationst.
KEYWORDS: CRP; PCT; pregnancy with acute appendicitis

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