急性阑尾炎手术和保守治疗的临床研究

目的对急性阑尾炎手术治疗和保守治疗进行临床对照研究,分析手术治疗和保守治疗的有效性及其适应证。方法采用前瞻性对照研究方法对临床收治诊断为急性阑尾炎的患者进行研究,比较其预后差异。结果手术治疗133例,术后总的并发症率为9.0%。保守治疗17例,保守治疗成功17例,复发3例,复发率为17.6%。结论对病情严重患者早期行单孔腹腔镜手术探查具有恢复快、并发症少的优势。保守治疗有一定的适应证和复发率,应辩证分析具体情况,慎重选择。

Clinical Study on Surgical Therapy and Reserve Therapy of Acute Appendicitis

Objectives Using clinical contrast study on surgical therapy and reserve therapy of acute appendicitis to analyze the effectiveness and indication of surgical and reserve therapy.Methods Using progressive contrast study on patients clinically diagnosed as acute appendicitis to analyze the prognosis.Results 133 cases using surgical therapy,with a post-operational complication rate of 9 percent.17 cases using reserve therapy,with 3 recurrence cases and recurrent rate of 17.6 percent.Conclusion Early single-port laparoscopy has advantages of quick recovery and less complication.Reserve therapy has its indication and recurrent rate;it is wise to use it in some condition.