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不做荷包埋入缝合法实施阑尾切除术1 340例体会
引用本文:曹林,罗顺传,王天和,邓旭东,马海敏,姚巨川. 不做荷包埋入缝合法实施阑尾切除术1 340例体会[J]. 临床误诊误治, 2008, 21(1): 13-14
作者姓名:曹林  罗顺传  王天和  邓旭东  马海敏  姚巨川
作者单位:川西北石油医院,四川,江油,621709;川西北石油医院,四川,江油,621709;川西北石油医院,四川,江油,621709;川西北石油医院,四川,江油,621709;川西北石油医院,四川,江油,621709;川西北石油医院,四川,江油,621709
摘    要:目的:总结不做荷包埋入缝合法阑尾切除术的治疗效果及安全性.方法:对1989年5月~2007年1月收治的1 340例各种类型阑尾炎均采用不做荷包埋入缝合法阑尾切除术,阑尾残端用丝线结扎加缝扎.结果:全组平均手术时间42分钟,1 318例(98.36%)切口1期愈合,21例(1.57%)发生切口感染,1例并发脑梗死死亡.除死亡病例外,均痊愈出院,随访5个月~10年,发生粘连性肠梗阻5例.结论:不做荷包埋入缝合法阑尾切除术操作简便,可处理各种类型阑尾炎,并能减少术后并发症,是对传统阑尾切除术的合理改进.

关 键 词:阑尾炎  急腹症  外科手术  阑尾切除术
文章编号:1002-3429(2008)01-0013-02
收稿时间:2007-09-01
修稿时间:2007-09-01

Report on 1 340 Cases of Suturing Appendectomy without Imbedding
CAO Lin,LUO Shun-chuan,WANG Tian-he,DENG Xu-dong,MA Hai-min,YAO Juc-huan. Report on 1 340 Cases of Suturing Appendectomy without Imbedding[J]. Clinical Misdiagnosis & Mistherapy, 2008, 21(1): 13-14
Authors:CAO Lin  LUO Shun-chuan  WANG Tian-he  DENG Xu-dong  MA Hai-min  YAO Juc-huan
Abstract:Objective:To sum up the efficacy and safety of suturing appendectomy without imbedding.Methods: 1 340 cases of different types of appendicitis underwent suturing appendectomy without imbedding during May 1989 to January 2007,with deligation and transfixion of appendiceal stump by suture silk.Results:The average operational time was 42 min.The healing rate of Stage I was 1 318 cases(98.36%).Infection rate was 21 cases(1.57%),with 5 cases of adhesive intestinal obstruction.1 case died of complicated cerebral infarction.All except the death case were discharged from hospital.The follow-up ranged between 5 months and 10 years.Conclusion:The method is an improvement to the traditional appendectomy and easy to operate and can treat different types of appendicitis and reduce cases of postoperative complication.
Keywords:Appendicitis  Surgical abdomen  Surgical procedures  Appendectomy
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