摘要
目的:探讨预防或降低阑尾炎再手术率的措施和手术方法。方法:收治急性阑尾炎患者28例,进行回顾性分析。结果:28例再手术者因结肠肿瘤而漏诊7例,其它疾病误诊5例,因明显技术操作不当致再手术6例,其中2例表现为失血性休克,2例阑尾残株炎,2例腹壁下动脉损伤;术后并发症10例,其中腹壁窦道4例,粪瘘2例,腹膜外脓肿2例,盆腔脓肿2例。结论:掌握外科基本功,遵循外科基本原则;避免惯性思维,减少误诊机会,常能够避免或减少再手术机率。
Objective：To explore the proce- dures and methods of decreasing post - ap- pendectomy reoperation rate. Methods： 28 cases hospitalized from January 1982 to Jan- uary 2005 for various causes of post - ap- pendectomy reoperation were analyzed retro- spectively. Results ： In 28 cases, 7 were co- lonic cancers and 5 were other diseases, in- stead of appendicitis. 6 patients received re- operation for obvious technical errors, 2 of them were due to manifested hemorrhagic shock, 2 were stump appendicitis, and 2 were inferior abdominal artery injury. 10 pa- tients had complications, among them, 4 were fistula of abdominal wall, 2 were fecal fistula,2 were extraperioneal abscess and 2 were pelvic abscess. Conclusions： The key for decreasing post - appendectomy reopera- tion rate is mastering the basic surgical techniques and rationale, avoiding habitual way of thingking.
关键词
阑尾炎
并发症
再手术
Appendicitis
Complication
Re- operation
