摘要
目的探讨慢性阑尾炎急性发作手术方式的选择。方法回顾性分析2004～2006年诊断为慢性阑尾炎急性发作行腹腔镜手术治疗的22例患者的临床资料。结果所有患者均切除了阑尾,19例患者完成腔镜下阑尾切除术,3例患者中转开放手术,平均手术时间(100±15.8)min,平均住院时间(4.1±2.1)d,术后1例患者出现肠瘘,予以持续腹腔低压冲洗引流7d后肠瘘治愈。术后随访1年,所有患者均无腹痛发生。结论腹腔镜手术治疗慢性阑尾炎急性发作在大多数情况下是安全、可行的,但在腹内炎症严重、粘连严重、腹腔容积因炎症而明显减少时应慎重选择腔镜手术。
[Objective] To explore the choice of surgical approach for acute episode of chronic appendicitis. [Method] Totally 22 cases of acute episode of chronic appendicitis were retrospectively analyzed. They were operated on in our hospital during the time from 2004 to 2006. [Results] All the cases got appendix resected under laparoscope （19 cases） or laparotomy （3）. The mean operation time was （100±15.8） minutes. The mean postoperative hospital stay time was （4.1±2.1） days. One case had intestinal fistula. After abdominal lavage and drainage for 7 days, the patient recovered. No abdominal pain appeared during the follow-up of 1 year. [Conclusion] The laparoscopic appendectomy is safe, feasible for acute episode of chronic appendicitis under many conditions. But in case of serious inflammation, complicated adherence or decreased abdominal capacity, particular caution should be taken in choosing laparoscopic appendectomy.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第7期728-729,732,共3页
China Journal of Endoscopy
关键词
慢性阑尾炎急性发作
腔镜下阑尾切除术
acute episode of chronic appendicitis
laparoscopic appendectomy
