评价阑尾肿块在复杂性阑尾炎早期手术治疗中的作用。
Evaluation of early surgical management of complicated appendicitis by appendicular mass.
机构信息
Department of General Surgery, Faculty of Medicine, Menofia University, Egypt.
出版信息
Int J Surg. 2011;9(1):101-3. doi: 10.1016/j.ijsu.2010.10.006. Epub 2010 Oct 19.
AIM
This prospective study was done to evaluate the feasibility and safety of immediate appendicectomy in the presence of appendicular mass.
METHODS
A prospective, nonrandomized study was conducted over 46 consecutive patients (mean age: 24 ± 8.76 years) presenting with an appendicular mass over a 4-year period. They were subjected for immediate appendicectomy within 24 h of admission.
RESULTS
The appendix was identified and removed in all 46 patients at operation. Peri-appendiceal abscesses were present in 25% (11 of 46). There was difficulty with adhesolysis and localization of the appendix in 10%(4) of patients. Superficial wound infection had occurred in 8(17%) while deep wound infection had occurred in 9%(4) patients. The mean hospital stay was 3 ± 0.25 day. No major complications had occurred.
CONCLUSIONS
Early surgical intervention in patients with an appendicular mass is feasible, safe and avoids the consequences of the misdiagnosis and mistreatment of other surgical pathologies.
目的
本前瞻性研究旨在评估在存在阑尾肿块的情况下行阑尾切除术的可行性和安全性。
方法
对 46 例连续患者（平均年龄：24±8.76 岁）进行前瞻性、非随机研究，这些患者在 4 年内出现阑尾肿块。他们在入院后 24 小时内进行了立即阑尾切除术。
结果
在所有 46 例患者的手术中均识别并切除了阑尾。25%（46 例中有 11 例）存在阑尾周围脓肿。10%（4 例）的患者存在粘连松解和阑尾定位困难。8%（8 例）发生浅表伤口感染，9%（4 例）发生深部伤口感染。平均住院时间为 3±0.25 天。无严重并发症发生。
结论
对阑尾肿块患者进行早期手术干预是可行的、安全的，可以避免误诊和治疗其他外科疾病的后果。
Zotero 插件