124例急性阑尾周围脓肿临床诊治分析.docVIP

124例急性阑尾周围脓肿的临床诊治分析 　　【摘要】目的 探讨研究124例急性阑尾周围脓肿的临床诊治。方法 选取我院自2007年3月~2009年11月收治的124例急性阑尾周围脓肿病患，随机分为观察组62例手术切除治疗和对照组62例保守治疗，观察对比两组治疗效果。结果 观察组手术治疗后，均全部治愈出院，手术后感染1例，无肠瘘发生，无死亡病例，其中显效60例，有效2例；对照组基本痊愈，手术感染11例，肠瘘6例，无死亡病例，其中显效的39例，有效18例，无效1例；两组的疗效及感染率、并发症率间差异显著（P0.05），具有统计学意义。结论 急性阑尾周围脓肿患者及早采取I期手术治疗，可有效控制炎症，缩短病程，减少II期手术率及降低并发症的发生，在处理得当的前提下，采取I期手术治疗是安全可行的，具有重要的临床治疗意义。 　　【关键词】急性阑尾炎 急性阑尾炎周围脓肿手术切除 　　中图分类号：R656.8文献标识码：A文章编号：1005-0515（2011）8-005-02 　　【Abstract】Objective To investigate the study 124 cases of acute clinical diagnosis and treatment of appendiceal abscess. Methods In our hospital from March 2007 - November 2009 treated 124 cases of acute appendicitis abscess patients, 62 patients were randomly divided into two surgical treatment and the control group of 62 patients treated conservatively, compared two groups of treatment effect observed . Results The surgical treatment, were cured and discharged after surgery, infection in 1 case, no intestinal fistula occurred, no deaths, which markedly 60 cases, 2 cases; in control group healed, surgical infection in 11 cases of intestinal fistula 6 cases, no deaths, of which 39 cases markedly effective in 18 cases, 1 patient; two of the efficacy and rate of infection, significant differences between complication rates (P0.05), with statistical significance. Conclusion Patients with acute appendicitis abscess take early stage I surgery, which can effectively control the inflammation and duration to reduce the rate of phase II surgery and reduce complications in dealing with appropriately under the premise of taking phase I surgery is safe and feasible , has important clinical significance. 　　【Key words】acute appendicitis, acute appendicitis abscess surgery 　　在急腹症中急性阑尾炎是一种位居首位的疾病，主要以转移性右下腹痛，阑尾点压痛，反跳痛，恶心呕吐等为主要临床症状。而急性阑尾炎周围脓肿是由于阑尾发炎，细菌感染后，没有得到有效并及时的治疗而导致的脓肿，一般以手术切除为主，在手术切除治疗后都能得到痊愈的效果。而本文就急性阑尾周围脓肿的临床诊治做出了相关的探讨研究，现报告如下： 　　1 资料与方法 　　1.1 一般资料 选取我院自2007年3月~2009年11月收治的124例急性阑尾周围脓肿病患，随机分为观察组62例手术切除治疗和对照组62例保守治疗；其中观察组中男病患有38例，女病患24例，年