急性化脓性阑尾炎47例手术治疗分析

目的:探讨急性化脓性阑尾炎有效的手术治疗方法。方法:收治急性化脓性阑尾炎患者47例,均采取手术治疗。结果:本组47例急性化脓性阑尾炎患者手术均取得成功,手术平均时间74.4±3.4分钟,出院前患者切口愈合均达到甲级标准,平均住院7.2±1.6天。术后2例发生切口感染,2例发生肠梗阻,1例发生腹腔脓肿,并发症发生率10.6%。结论:手术是治疗急性化脓性阑尾炎的首选方法,手术应根据患者的具体情况选择合适的切口,把握手术时机,积极预防并发症的发生,以提高临床治疗效果。

Objective：To explore the effective operation treatment method of acute suppurative appendicitis.Methods：A retrospective analysis of clinical data of 47 cases of acute suppurative appendicitis in our hospital from 2009 to 2011 years was operated,all the patients were treated by operation.Results：The operations of 47 cases with acute suppurative appendicitis were all successful,the average operation time was 74.4±3.4min,before leaving hospital the incision healing of patients all meet good standard,the average length of hospital time was 7.2±1.6d.We found after operation treatment 2 cases occurred incision infection,2 cases occurred intestinal obstruction,1 cases occurred abdominal abscess,the complication rate was 10.6%.Conclusion：Operation treatment is the preferred method for acute suppurative appendicitis,operation should select suitable incision based on special circumstances of patient,grasp the operation opportunity,and prevent the occurrence of complications actively,to improve clinical effect.