阑尾周围脓肿的Ⅰ期手术治疗

目的探讨急性阑尾周围脓肿Ⅰ期手术切除的指征、方法和并发症。方法对1990年1月-2005年12月收治的行Ⅰ期手术治疗的276例急性阑尾周围脓肿患者的病例资料进行分析。结果本组276例无围手术期死亡。发生切口感染27例，腹壁窦道形成3例，盲肠瘘2例，腹腔残余脓肿1例。平均住院天数15．8天。结论急性阑尾周围脓肿不是Ⅰ期手术治疗的禁忌证，积极采取合适的手术方式能及早控制炎症，缩短病程。但要视术中具体情况，不能盲目追求Ⅰ期切除率。

Operation of appendiceal abscess in initial stage

Objective To explore operation signs, techniques and complications of appendiceal abscess. Methods From January 1990 to December 2005,276 cases that were removed in initial stage were analyzed. Results Among 276 cases,no case was died. 27 eases had wound infection. 3 cases had sinus tract of abdominal wall. 2 cases had leakage of cocum. 1 case had intra abdominal abscess. The average time in hospital is 15.8 days. Conclusion Removal of appendix in initial stage is no longer forbidden to acute appendiceal abscess patients. An active proper operation technique can control inflammation and reduce course of disease. We must accord the fact in operation and can not blindly increase the rate of appendix removal in initial stage.