阑尾炎穿孔合并弥漫性腹膜炎经麦氏切口手术治疗体会

目的 探讨经麦氏切口手术治疗阑尾炎穿孔合并弥漫性腹膜炎.方法 回顾性分析经麦氏切口和经右中腹旁正中切口手术治疗阑尾炎穿孔合并弥漫性腹膜炎各135例的临床资料.结果 经麦氏切口手术治疗阑尾炎穿孔合并弥漫性腹膜炎组切口痛消失时间短,肠功能恢复快,住院时间短,疤痕小且隐蔽,在并发症中腹腔残余脓肿发生率较经右中腹旁正中切口仅高出0.70%,术后发生肠粘连无差异;而较经右中腹旁正中切口,感染率降低2.19%,肺部感染、肺不张发生率降低1.50%,切口疝发生率降低1.50%.结论 经麦氏切口手术治疗阑尾炎穿孔合并弥漫性腹膜炎,具有术后疤痕相对较小、隐蔽,术后疼痛较轻,恢复较快、肺部感染、切口感染、切口疝发生率较低等优点,只要掌握指征并合理地作好围手术期处理,经麦氏切口手术治疗阑尾炎穿孔合并弥漫性腹膜炎总体效果明显优于经右中腹旁正中切口.

Clinical experience of treatment appendicitis perforation with diffuse peritonitis by McBurney incisions

Objective] To study the operation of treatment appendicitis perforation with diffuse peritonitis by MeBumey incisions, Methods] To analyze retrospectively the clinical data on 135 patients respectively with the operation of treatment appendicitis perforation with diffuse peritonitis by MeBurney incisions and by righ middle abdomen paramedian incisions. Results] The operation of treatment appendicitis perforation with diffuse peritonitis by MeBumey incisions whose incisions pain disappeared quickly, intestine function reeoveried fast, length of stay was short, sear was little and secluding,the complication of abdominal eavitywas residual abscess was only 0.7% higher than operation by righ middle abdomen paramedian incisions, but incisions infectious rate reduced 2.19%, pulmonary infection and pulmonary ateleetasis decreased 1.50%, ineisional hernia incidence rate cut down 1.50%, adhesion of intestine after operation was no difference between two groups. Conclusion] The operation of appendicitis perforation with diffuse peritonitis by MeBumey incisions had the merit of little sear, secluding,slight pain, fast recovery and fewer incidence rate of pulmonary infection , incisions infectious, ineisional liernia, as long as master,So, the operation of treatment appendicitis perforation with diffuse peritonitis by MeBumey was much better than by righ middle abdomen paramedian incisions.