异位急性阑尾炎的治疗分析  

Analysis of Clinical Treatment of Different Types of Ectopic Acute Appendicitis

作　　者：陈国明 

机构地区：[1]湛江西南医院,广东湛江524500

出　　处：《辽宁医学院学报》2015年第3期15-17,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨异位急性阑尾炎的异位类型的临床治疗方法。方法对2012年4月至2014年4月经我收治的24例异位急性阑尾患者的临床资料进行回顾性分析。结果 24例患者术前误诊率58.3%,经观察体征和症状的演变后,结合检查结果,所有患者均进行阑尾切除术,平均手术时间(85.3±12.1)min,住院时间(6.8±1.5)d,24例患者均经手术及术后病理证实为异位急性阑尾炎,4例患者出现术后并发症,其中切口感染2例,脂肪液化1例,早期炎性肠梗阻1例,经对症治疗后,均痊愈出院。结论加强了解异位急性阑尾炎的异位类型的特点,及时诊断和手术治疗,有助于提高异位急性阑尾炎的治疗效果,改善患者的生活质量。Objective To investigate the clinical treatment of different types of ectopic acute appendicitis. Methods The clinical data of 24 cases of ectopic acute appendicitis patients treated in our hospital from April 2012 to April 2014 were analyzed retrospectively. Results The preoperative misdiagnosis rate of the 24 cases was 58.3%. After observing signs and change of symptoms, combined with test results, appendectomy was performed on all the patients, with mean operation time （85.3 ±12. 1 ） mins, and length of stay for （6. 8 ±1.5 ） days. All the patients were diagnosed with ectopic acute appendicitis after both intraoperative and postoperative pathological examination, and four of them had postoperative complications, of which 2 had incision infection, one fat liquefaction, and one early inflammatory Intestinal obstruction. After symptomatic treatment, all the patients were cured. Conclusion Better understanding of features of different types of ectopic acute appendicitis, timely diagnosis and surgical treatment helps to improve the clinical effect of ectopic acute appendicitis and quality of patients＇ life.

关 键 词：异位急性阑尾炎 异位类型 临床特点 

分 类 号：R574.61[医药卫生—消化系统]