儿童急性白血病伴发急性阑尾炎的临床病理分析  

Clinicopathological feature of acute appendicitis in children with leukemia

作　　者：张娜[1] 朱源 廖晓锋[1] 孙华朋[1] 

机构地区：[1]湖北文理学院附属襄阳市中心医院,湖北襄阳441021 [2]襄阳市保康县中医院,湖北襄阳441000

出　　处：《现代肿瘤医学》2016年第4期621-622,共2页Journal of Modern Oncology

摘　　要：目的:探讨儿童白血病伴发急性阑尾炎的治疗方法、手术时机及临床病例分析。方法:对18例病例进行回顾性分析。结果:均在全麻下行阑尾切除术,其中4例行腹腔镜手术。治愈17例,死亡1例。结论:白血病患者较正常人更易罹患急性阑尾炎,一旦确诊应首选手术治疗。随着近年腹腔镜技术发展,腹腔镜手术由于其微创、较少的术后并发症为儿童白血病患者伴发急性阑尾炎提供了又一手术方式选择。Objective： To explore the therapeutic methods,operative timing and the clinicopathologic features which in acute appendicitis in children with leukemia. Methods： Eighteen cases with acute leukemia and appendicitis of children were retrospectively analyzed. Results： All 8 patients were treated with appendectomy 4 cases underwent laparoscopic appendectomy,1 case died and 17 cases were cured. Conclusion： Leukemia patients were easily to have acute appendicitis. Surgery is acceptable as first-line treatment in such cases. Laparoscopic surgery is safe and feasible due to its minimally invasive and less postoperative complications for patients with leukemia and appendicitis of children.

关 键 词：急性白血病 急性阑尾炎 阑尾切除术 腹腔镜阑尾切除术 儿童 

分 类 号：R733.71[医药卫生—肿瘤]