摘要
报告阑尾包块209例,占同期急性阑尾炎病人的2.6％,男性91例,女性118例,年令5～91岁,非手术治疗者154例中,转手术为10例,保守治疗成功率93.5％,急诊手术55例加中转手术10例,共为65例,阑尾可切除率38.5％,25例术后出现并发症,术后并发症发生率49.2％,一例死亡,阑尾炎复发约为21％阑尾包块早期手术并发症高,应首选保守治疗,有并发症时考虑手术,阑尾切除率较低,阑尾炎复发多在发病后半年内,复发者应积极采取手术,无复发者一般无后遗症,恶性肿瘤漏诊率低,不必常规行间歇期内阑尾切除。
The primary treatment of an appendiceal mass may be either conservative or surgical therapy.
This study concers the outcome of treatment in 209 instances of appendiceal mass.
154 patients with appendiceal mass were treated nonoperatively. The nonoperative management
was successful in 93. 5% of the patients.
65 patients with appendiceal mass were operated on. The appendix can be removed in 38.5% of
the patients. The remainders had abdominal drainage without having an appendectomy performed. The
complication rate was 49.2%.
One 90-year-old patient died, A mortality of 0.5%.
We recommend conservative therapy in patients with appendiceal mass without complication.
Interval appendectomy is not necessary routinely.
出处
《现代诊断与治疗》
CAS
1992年第1期18-21,共4页
Modern Diagnosis and Treatment
关键词
切除
包块
阑尾炎
Appendiceal mass
Appendicitis
Appendectomy
