结肠镜下阑尾腔内冲洗术治疗急性阑尾炎10例效果观察  

Effect Observation of Endoscopic Intracavity Douching in Treatment of Patients with Acute Appendicitis(10 Cases)

作　　者：冯佳[1] 冯子坛[1] 孙蓉[1] 郭丽丽[1] 刘文格[1] 

机构地区：[1]解放军白求恩国际和平医院消化内科,石家庄050082

出　　处：《解放军医药杂志》2014年第1期46-47,54,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的 探讨结肠镜下阑尾腔内冲洗术治疗急性阑尾炎的效果.方法 回顾性分析2012年3-11月我院10例急性阑尾炎经结肠镜进行阑尾腔内冲洗术的临床资料,观察结肠镜下及临床表现、术前和术后超声及随访情况.结果 本组结肠镜下均见阑尾口充血、水肿,2例可见白色脓液流出;均给予生理盐水反复冲洗,8例可见白色脓液或絮状物质及粪石排出.术毕腹痛全部缓解,术后复查超声示阑尾直径和壁厚较术前缩小.随访1～8个月,除 1例慢性阑尾炎于1个月后复发,予外科手术切除,其余9例均未复发.结论 结肠镜下阑尾腔内冲洗术治疗急性阑尾炎安全、有效.Objective To investigate the curative effect of endoscopic intracavity douching in treatment of acute appendicitis. Methods Clinical data of 10 patients with acute appendicitis treated with endoscopic intracavity douching from 2012 March to November was retrospectively analyzed. The colonoscopy and clinical manifestations, preoperative and postoperative ultrasonography results and follow-up results were observed. Results All the 10 patients showed congestion and edema in openings of appendix including 2 patients with pus outpouring; all the patients were given repeated douching with normal saline, and pus, floccule and fecalith were discharged from 8 patients. The postoperative abdominal pains were relieved in all the patients, and the postoperative ultrasonography showed that diameter and wall thickness of appendixes were shorter and thinner than that before operation. There was no recurrence, except for 1 patient with recrudescent chronic appendicitis one month after the operation during a follow-up for 1 - 8 months. Conclusion Endoscopic intracavity douching in treatment of acute appendicitis is effective and safe.

关 键 词：阑尾炎 结肠镜 灌洗 治疗结果 

分 类 号：R574.61[医药卫生—消化系统]