阑尾肿物11例诊治探讨  

Diagnosis and surgical treatment of 11 cases of appendicular space occupying lesion.

作　　者：周光文[1] 蔡伟耀[1] 李宏为[1] 杨卫平[1] 

机构地区：[1]上海第二医科大学附属瑞金医院普外科,200025

出　　处：《中国实用外科杂志》1999年第11期672-673,共2页Chinese Journal of Practical Surgery

摘　　要：目的　通过１１ 例阑尾肿物的临床追踪分析，探讨其诊断和外科治疗的疗效。方法　回顾性研究１９８０～１９９９ 年接受治疗的经病理证实的阑尾肿物，根据其临床表现和辅助检查的特点，结合文献讨论有关诊治问题。结果　粘液囊肿４ 例，类癌４ 例，腺癌１ 例，腺癌部分癌变１ 例，平滑肌肉瘤１ 例。术前仅１ 例粘液囊肿获正确诊断。本组１１ 例均行手术治疗，根据术中冰冻病理结果，类癌肿块直径＞ １ｃｍ 者行右半结肠切除术，腺癌者行右半结肠切除加区域淋巴结清扫术，平滑肌肉瘤者行阑尾加盲肠部分切除，余７ 例仅行阑尾切除术。除３ 例死于非相关因素外，其余均获得良好疗效。结论　术中仔细探查和冰冻病理对正确的手术方式选择有重要作用。Objective In order to study definite diagnosis and surgical effects,11 cases of appendicular space occupying lesion were analyzed by the clinical follow-ups.Methods The clinical,accessory and pathological findings encountered in our hospital from 1980 to 1999 are reported and literatures reviewed.Results Mucocele:4 cases,carcinoid:4 cases,adenocarinoma:1 case,partial carcinoma of adenoma:1 case,leiomyosarcoma:1 case.Only one case of mucocele was diagnosed before operation.According to the results of refrigerated pathology,all eleven cases were operated:right hemicolectomy in carcinoid(diameter>1cm),right hemicolectomy and regional lymphadenectomy in adenocarcinoma,appendectomy and partial cecectomy in leiomyosarcoma,other seven cases were only done for appendectomy.Apart from 3 cases dying for non-relative factors,the rest were in good general condition after operation.Conclusion Careful exploration and refrigerated pathology are important for choosing correct operation methods.al relativity rate of the drug sensitivity test was 97 3%.Conclusion It may not be necessary to add potato starch in the compound of improved L J medium. Key words M.tuberculosis Medium

关 键 词：类癌 腺瘤 粘液囊肿 阑尾肿物 

分 类 号：R735.36[医药卫生—肿瘤]