急性单纯性阑尾炎和急性复杂型阑尾炎的临床特点分析.pdfVIP

窑医护论坛 窑 中国当代医药 2014年 12月第21卷第35期 急性单纯性阑尾炎和急性复杂型阑尾炎的 临床特点分析 梅泽文 聂时求 沈志刚 湖北省黄梅县第二人民医院普通外科袁湖北黄梅 435500 [摘要] 目的统计分析急性单纯性阑尾炎和急性复杂型阑尾炎的临床特点袁寻求术前鉴别诊断的方法遥 方法所 有患者术前都测体温尧作腹盆腔彩超检查袁然后做阑尾切除术袁术后行病理检查确诊袁比较观察急性单纯性阑尾 炎和急性复杂型阑尾炎患者体温跃39益的发生率尧腹肌紧张发生率尧阑尾粪石嵌顿发生率尧阑尾周围积液发生率 和游离腹盆腔积液发生率遥 结果急性单纯性阑尾炎有92例袁占24.3%袁急性复杂型阑尾炎有287例袁占75.7%袁 急性复杂型阑尾炎的比例明显高于急性单纯性阑尾炎袁急性单纯性阑尾炎组体温跃39益的发生率尧腹肌紧张发生 率尧阑尾粪石嵌顿发生率尧阑尾周围积液发生率均显著低于急性复杂型阑尾组渊P0.05冤曰两组的游离腹盆腔积液 发生率比较袁差异无统计学意义渊P0.05冤遥 结论术前出现跃39益的发热和腹肌紧张袁发现阑尾粪石嵌顿和渊或冤 阑尾周围积液袁那诊断急性复杂型阑尾炎的可能性大袁出现游离腹盆腔积液不是鉴别急性单纯性阑尾炎和急性 复杂型阑尾炎的一项指标遥 [关键词] 急性单纯性阑尾炎曰急性复杂型阑尾炎曰阑尾粪石嵌顿 [中图分类号] R656.8 [文献标识码] B [文章编号] 1674-4721渊2014冤12渊b冤-0168-03 Clinical characteristic analysis of acute simple appendicitis and acute complicatedappendicitis MEI Ze-wen NIE Shi-qiu SHEN Zhi-gang DepartmentofGeneralSurgery,theSecondPeople忆sHospitalofHuangmeiCountyinHubeiProvince,Huangmei 435500, China [Abstract]Objective To statistically analyze the clinical characteristic of acute simple appendicitis and acute compli鄄 cated appendicitis to seek for preoperative differential diagnosis method. Methods All participants were requested to take temperature before operation and color Doppler ultrasound examinations in abdominal and pelvic cavities.Appen鄄 dicectomy was implemented and then pathological examinations for definite diagnosis after surgery.The incidence rate of body temperature 跃39益,abdominal muscle tension,appendiceal fecalith incarceration,fluid around appendix,and free abdominal pelvic effusion in patients with acute simple appendicitis or acute complicated appendicitis were compared and observed. Results Acute simple appendicitis was in 92 cases accounting for 24.3%,and acute co