摘要
目的探讨血吸虫性阑尾炎发病机制、临床表现及治疗方法。方法回顾性分析56例经病理诊断证实的血吸虫性阑尾炎的临床资料。结果40岁以上的患者的血吸虫性阑尾炎发病率较高,在切除的阑尾标本中均可见粘膜下有血吸虫卵沉积;除1例病人二期缝合治愈外,其余病人均一期愈合出院。结论血吸虫性阑尾炎的临床表现与一般阑尾炎无明显区别,术前难以确诊,需在术后经病理证实。对于有疫区居住史及疫水接触史的腹痛病人应考虑到本病的可能。
Objective To explore the pathogenesy, clinical presentation and therapy of the schistosomal appendicitis. Methods The information of surgical treatment was analyzed retrospectively in 56 cases of schistosomal appendicitis. All cases were confirmed by patholog- ic diagnosis. Results The highest incidence of sehistosomal appendicitis was recorded after 40 years age. Ova were seen in the submuco- sal layers of all the excised appendices. All cases healed after primary suture except one. Conclusion There is no obviously difference between the sehistosomal appendicitis and general appendicitis in clinical presentation. It is difficult to diagnose preparation. All cases need to be confirmed by pathologic diagnosis. The sehistosomal appendicitis should be considered if the patient has history of epidemic area of infectious disease to dwell or contact.
出处
《局解手术学杂志》
2009年第1期22-23,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
血吸虫
阑尾炎
病理诊断
schistosomiasis
appendicitis
pathologic diagnosis
