摘要本文报告4例腹茧症综合征（abdominal cocoon syndrome，ACS）合并妊娠患者。2例为自然受孕剖宫产术中发现ACS，1例Ⅰ型，1例Ⅲ型；2例因不孕症行腹腔镜探查术诊断ACS Ⅲ型，后行辅助生殖技术受孕。3例患者整个孕期反复出现恶心、呕吐、腹痛等不适，胃肠减压、营养支持等保守治疗有效；2例患者入院查C-反应蛋白明显升高。4例患者均剖宫产终止妊娠，术中均未对ACS行特殊治疗。1例剖宫产术中膀胱破裂行修补术，术后1个月拔除尿管。4例患者产后随访半年，母婴结局均良好。

abstractsThis article reported four cases of abdominal cocoon syndrome (ACS) complicated by pregnancy. Two cases were discovered during cesarean section for natural conception, one with type Ⅰ and one with type Ⅲ ACS. Two cases were diagnosed with ACS type Ⅲ through laparoscopic exploration due to infertility and later conceived via assisted reproductive technology. Three patients experienced recurrent nausea, vomiting, and abdominal pain during the entire pregnancy, which were effectively managed with conservative treatments such as gastrointestinal decompression and nutritional support. Two patients had significantly elevated C-reactive protein levels upon admission. All four patients terminated their pregnancies via cesarean section, with no special treatment for ACS during surgery. One case involved bladder rupture during cesarean section, which was repaired, and the catheter was removed one month postoperatively. Follow-up for six months showed good maternal and infant outcomes.