Appendix abscess treatment of 60 cases.docVIP

 PAGE \* MERGEFORMAT 8 Appendix abscess treatment of 60 cases Of: Chan King Shi Shunxiang Liu Fengshun Caoshu Following strong root Li Xianfeng Hao [Abstract] Objective To analyze the conservative treatment of appendiceal abscess during the treatment efficacy of surgical and conservative means of treatment. Methods 60 patients were treated in our department 2000.01-2007.12 appendix abscess, according to symptoms, signs, white blood cell count and abdominal ultrasound or X-B the results of diagnostic colonoscopy established, in advance of the conservative treatment group of patients, while conservative treatment fails then surgical treatment. by the above information to analyze the efficacy of conservative treatment and conservative course of treatment, the indication for surgical treatment. Results 53 patients were discharged cured or improved with conservative treatment, 7 were ineffective in the course of conservative treatment surgical treatment cured. Conclusion Appendiceal abscess in most cases, conservative treatment effect is significant, only a small part of the conservative treatment of patients who need surgical treatment ineffective . [Keywords:] appendix abscess surgery Conservative treatment 1 Clinical data Diagnosis of persistent pain under the right lower quadrant or with fever, nausea, vomiting, intestinal obstruction and other gastrointestinal symptoms, signs right lower quadrant tenderness, palpable tenderness of the mass, high white blood cell count, combined with B-: mixed echo of the right lower quadrant mass, or X-colonography showed a right lower quadrant mass in soft tissue, the appendix may be developing but poor emptying, the exclusion of gynecological malignant tumors and other pelvic diseases and intestinal abscess after the diagnosis of appendicitis can basically clear. 60 cases were treated in this group, 41 men patients, 19 females, aged 4.5-78 years, mean 33.2 years of age, illness duration 3-30 days, an averag