阑尾炎性肿块48例治疗的临床分析

目的　探讨阑尾炎性肿块的治疗方法和手术时机选择。方法　回顾分析我院阑尾炎性肿块 48例。结果　 42例经非手术治疗治愈 ,其余 2例急诊手术切除 ;2例急诊手术未成 ;1例阑尾脓肿切开引流 ;1例阑尾脓肿破溃弥漫性腹膜炎行脓肿扩创引流、腹腔引流术。结论　多数阑尾炎性肿块适宜保守治疗后延期行阑尾切除或再发作时行阑尾切除 ,当形成阑尾脓肿并有破溃可能时应手术引流或穿刺导流。

Treatment of Appendiceal Mass: a Report of 48 cases

Objective To investigate the treatment and the appropriate operative times of appendiceal mass. Methods The data of 48 cases with appendiceal mass was analyzed retrospectively. Results 42 cases recovered with the conservative management. 2 cases underwent appendectomy. 2 cases failed to be excised. 1 case underwent operative drainage. 1 case with appendiceal abscesses ruptured and peritonitis underwent epluchage drainage and intraperitoneal drainage. Conclusions Conservative therapy is adapted to the treatment of appendiceal mass in many instances. Interval appendectomy for recurrent appendicitis after initial conservative management is advisable. Operative drainage or percutaneous drainage should be taken before abscesses rupture.