27例阑尾血吸虫病诊治分析  

Diagnosis and treatment of schistosomiasis of appendix in 27 Cases

作　　者：谢立江[1] 

机构地区：[1]绍兴市中医院,浙江绍兴312000

出　　处：《浙江医学教育》2008年第2期51-52,55,共3页Zhejiang Medical Education

摘　　要：目的:探讨血吸虫病性阑尾炎的临床特征。方法:将1994年7月到2006年11收经治的27例阑尾血吸虫病例的临床特点进行回顾总结分析。结果:全部病例均手术治疗。术后病理诊断化脓性阑尾炎11例,占40.4%;坏疽、穿孔5例,占18.51%;慢性阑尾炎7例,占25.92%;单纯性阑尾炎4例,占14.81%。术后并发切口感染4例、伤口裂开1例,泌尿系统感染1例。结论:阑尾血吸虫病患者因一般状况差,加上肠壁的基础病变,使病情进展快,容易造成坏疽、穿孔,切口感染发生率高,并有一定癌变率。[Objective]To discuss the clinical features of schistosomiasis of the appendix.[Method]A total of 27 cases with schistosomiasis of the appendix from My 1994 to December 2006 were reviewed and analyzed.[Result]All the patients were treated with operation.After the operation,eleven patients(40.4%) were diagnosed as suppurative appendicitis,5 patients (18.51%) gangrene or perforation,7 patients(25.92%) chronic appendicitis and 4 patients(14.81%) simple appendicitis. Postoperative complications were infection of incisional wound in 4 cases,wound dehiscence in 1 case and infection of urinary system in 1 case.[Conclusion]Patients with schistosomiasis of the appendix have the tendency to gangrene or perforate and a high risk of infection of incisional wound,owing to the poor health condition of patients and the pathological changes of the bowel.Schistosomiasis of the appendix is associated with a certain degree to develop cancer.

关 键 词：血吸虫病 阑尾炎 临床特点 

分 类 号：R656.8[医药卫生—外科学]