阑尾术后非计划性再次手术18例临床分析  

Clinical Analysis of 18 Cases of Post-appendectomy Unplanned Reoperation

作　　者：陈昌志[1] 黄林[1] 陈心怡[1] CHEN Chang-zhi, HUANG Lin, CHEN Xin-yi （Affiliatal Hospital of Yaan Vocational College, Yaan 625000, China）

机构地区：[1]雅安职业技术学院附属医院,四川雅安625000

出　　处：《医学信息》2011年第14期4562-4563,共2页Journal of Medical Information

摘　　要：目的探讨避免或减少阑尾术后非计划性再次手术的措施和方法。方法回顾性分析1996年1月-2010年12月间收治的18例阑尾术后因各种原因施行非计划性再次手术的临床资料。结果18例患者中因技术操作不当致再次手术6例，术后机械性肠梗阻3例，结肠及回盲部肿瘤漏诊2例．阑尾腺癌再手术2例，术后并发症5例，其中右侧膈下脓肿1例，盆腔脓肿2例，局部切口反复慢性感染、窦道形成2例；17例痊愈出院．1例于271后死于结肠癌肝转移和多器官衰竭。结论在阑尾炎诊治过程中提高警惕，注意鉴别诊断，减少术前及术中漏诊和误诊，同时术中遵循外科基本原则和正确手术操作，是避免或减少阑尾术后非计划性再次手术的主要预防措施和方法。Objective To explore the provdeures and methods of preventing or decreasing post-appendec, tomy unplanned reoperation rate. Methods 18 cases hospitalized from January 1996 to December 2010 for various causes of post-appendectomy unplanned reoperation were analyzed retrospectively. Results In 18 cases, 6 cases of reoperation after appendectomy because of obvious technical errors, mechanical intestinal obstruction of postoperative 3 cases, cecum tomor 2 cases, appendix adenocarcinoma 2 cases, five patients had complictions, among them 1 was right subphrcnic abscess, 2 chronic infection or fistula of abdominal wall, ：2 pelvic abscess; 17 cases were cured, in 1 case died due to hepatic metastasis of colonic carcinoma or multiple organ failure after two mouths of reoperation. Conclusion The key for preventing or decreasing post-appendectomy unplanned reoperation is avoiding misdiagnosis in preoperative and operative, mastering the basic surgical techniques and rationale.

关 键 词：阑尾炎 阑尾切除 非计划性 再次手术 

分 类 号：R657.4[医药卫生—临床医学;医药卫生—外科学]