非典型急性阑尾炎32例临床分析

目的：探讨非典型急性阑尾炎的临床特点,及对其手术治疗适应证进行分析。方法：回顾性分析本院经手术治疗确诊的32例非典型急性阑尾炎患者的临床资料,汇总数据进行临床分析。结果：本组患者术后均证实为非典型急性阑尾炎,其中单纯性阑尾炎5例、化脓性阑尾炎20例、坏疽性急性阑尾炎7例。术后出现并发症共4例,其中切口感染2例,肠梗阻1例,肠瘘1例。所有患者均手术成功,治愈出院。结论：充分掌握非典型急性阑尾炎的临床表现,早诊断,早治疗,可改善预后。

Clinical analysis of 32 cases of patients with acute atypical appendicitis

Objective: To explore clinical performance in acute atypical appendicitis, and to analyze the corresponding operation indication. Methods: The clinical data of 32 cases of patients with surgical diagnosis of acute atypical appendicitis in our hospital were collected and analyzed retrospectively. Result: All the patients were proved to be acute atypical appendicitis after surgery. Among them, 20 cases were suppurated appendicitis, 7 cases were gangrened appendicitis, 5 cases were simple appendicitis. After surgery, 4 cases were suffered from complications, among them, 2 cases with incision infection, 1 case with ileus, 1 case with intestinal fistula. All the operation were successful, and patients were recovery and left hospital. Conclusion: Fully understanding of clinical performance in acute atypical appendicitis, early diagnose and treatment, help to improve prognosis.