儿童阑尾炎的临床及病理特点分析

Analysis of the Clinical and Pathological characteristics of Appendicitis in Children

目的:探讨儿童阑尾炎的临床及病理学特点。方法回顾性分析2002年~2012年85例儿童阑尾炎的临床及病理学资料,同时随机抽取85例成年阑尾炎患者作为对照。结果85例儿童阑尾炎患者中,男46例,女39例(1.18:1);化脓性阑尾炎40例(47.06%)、单纯性阑尾炎24例(28.24%)、穿孔性阑尾炎15例(17.65%)、坏疽性阑尾炎6例(7.06%);<3岁16例(18.82%)、4~6岁25例(29.41%)、7~12岁44例(51.76%)。与对照组比较,儿童阑尾炎患者临床症状中转移性右下腹痛、恶心呕吐及腹泻均有显著性差异;病理类型中化脓性、单纯性及穿孔性阑尾炎均有显著性差异。结论儿童阑尾炎好发于7~12岁;发病数随年龄增长而增多;其临床特点及病理类型与成人有差异,成人主要以单纯性为主、儿童主要以化脓性及穿孔性阑尾炎为主。

Objective To explore and analyze the clinical and pathological features of appendicitis in children.Methods From 2002 to 2012,85 cases of appendicitis in children were retrospectively analyzed in clinical and pathological data,and in comparison selected 85 cases of adult patients with appendicitis.Results 85 cases of appendicitis in children:46 cases of male,female 39 cases(1.18,1);the suppurative appendicitis,40 cases(47.06%),simple appendicitis,24 cases(28.24%),perforated appendicitis 15 cases(17.65%),6 cases of gangrenous appendicitis(7.06%);less than 3 years old were 16 cases(18.82%),4 to 6 years old,25 cases(29.41%),7 to 12 years old,44 cases(51.76%).Compared with control group,children appendicitis clinical symptoms in patients with metastatic lower abdominal pain,nausea,vomiting and diarrhea have significant differences;Pathological type of suppurative,simple and perforated appendicitis had significant dif erence.Conclusion Appendicitis mainly significantly appeared in 7~12 years children,and the incidence of the disease was increased with age;Its clinical characteristics and pathological types were dif erent in adults,the appendicitis in adulds mainly was simple type,and mainly suppurative and perforated appendicitis in children.