小儿阑尾脓肿的手术治疗  

Surgical management of children with appendiceal abscesses

作　　者：孙小兵[1] 陈雨历[1] 景东[2] 陈维秀[1] 

机构地区：[1]山东大学第二医院小儿外科,山东省日照市人民医院200033 [2]山西省儿童医院外科,030000

出　　处：《中华小儿外科杂志》2001年第5期291-292,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨小儿阑尾脓肿的治疗。方法　 110例小儿阑尾脓肿患儿 ,6 6例行阑尾切除术及腹腔冲洗 ,8例单纯腹腔引流 ,5例经直肠引流 ,31例保守治疗。结果　阑尾切除组、腹腔引流组、经直肠引流组和保守治疗组平均住院日分别为 10 .3d ,11.5d ,12 .4d ,15d。 6 6例行阑尾切除全部治愈 ,无肠漏及肠梗阻发生。结论　小儿阑尾脓肿可行Ⅰ期阑尾切除术。Objective To assess the management of children with appendiceal abscess.Methods 110 children with appendiceal abscess were treated. Of them, 66 patients underwent appendectomy and peritoneal lavage, 8 patients peritoneal drainage, 5 drainage via rectum, 31 received conservative management.Results The median hospitalization of four groups were 10.3?days, 11.5?days, 12.4?days,15?days respectively. Sixty-six children who underwent appendectomy recovered with no intestinal fistula or obstruction.Conclusions Primary appendectomy is safe and reliable in the management of appendiceal abscess .

关 键 词：腹内脓肿 阑尾切除术 儿童 

分 类 号：R726.5[医药卫生—儿科]