阑尾肿物11例诊治探讨

目的 通过１１例阑尾肿物的临床追踪分析,探讨其诊断和外科治疗的疗效。方法 回顾性研究１９８０￣１９９９年接受治疗的经病理证实的阑尾肿物,根据其临床表现和辅助检查的特点,结合文献讨论有关诊治问题。结果 粘液囊肿４例,类癌４例,腺癌１例,腺癌部分癌变１例,平滑肌肉瘤１例,术前仅１例粘液囊肿获正确诊断。本组１１例均行手术治疗,根据术中冰冻病理结果,类癌肿块直径〉１ｃｍ者行右半结肠切除术,除３例死于非相关

Diagnosis and surgical treatment of 11 cases of appendicular space occupying lesion.

Objective In order to study definite diagnosis and surgical effects,11 cases of appendicular space occupying lesion were analyzed by the clinical follow-ups.Methods The clinical,accessory and pathological findings encountered in our hospital from 1980 to 1999 are reported and literatures reviewed.Results Mucocele:4 cases,carcinoid:4 cases,adenocarinoma:1 case,partial carcinoma of adenoma:1 case,leiomyosarcoma:1 case.Only one case of mucocele was diagnosed before operation.According to the results of refrigerated pathology,all eleven cases were operated:right hemicolectomy in carcinoid(diameter>1cm),right hemicolectomy and regional lymphadenectomy in adenocarcinoma,appendectomy and partial cecectomy in leiomyosarcoma,other seven cases were only done for appendectomy.Apart from 3 cases dying for non-relative factors,the rest were in good general condition after operation.Conclusion Careful exploration and refrigerated pathology are important for choosing correct operation methods.al relativity rate of the drug sensitivity test was 97 3%.Conclusion It may not be necessary to add potato starch in the compound of improved L J medium. Key words M.tuberculosis Medium