浅谈急性坏疽性阑尾炎根部处理方法

Preliminary Discussion on Treatment of Root Part of Acute Gangrenous Appendicitis

目的：探讨急性坏疽性阑尾炎伴回盲部炎性水肿手术的根部处理方法。方法：对84例急性坏疽性阑尾炎伴回盲部炎性水肿手术患者,根据术中情况对阑尾根部选择性地采用不同的处理方法。结果：84例患者无肠粘连、无盲肠瘘及腹腔脓肿等手术并发症。结论：合理处理急性坏疽性阑尾炎伴回盲部炎性水肿的阑尾残端可以减少手术后的粪瘘、腹腔脓肿、肠粘连等手术并发症的发生。

Objective To discuss treatment method on root part of acute gangrenous appendicitis accompanied with ileocecal junction inflammatory edema in operation. Methods Regarding to the operational conditions,different treatment methods were adopted in treating the root part of acute gangrenous appendicitis accompanied with ileocecal junction inflammatory edema in 84 patients.Results The 84 patients showed no complications of inflammatory edema,appendix fistula or intra-abdominal abscess,etc.Conclusion By properly dealing with the appendiceal stump in patients with acute gangrenous appendicitis accompanied with ileocecal junction inflammatory edema,the occurrence of post-operational fecal fistula,intra-abdominal abscess and intestinal adhesion could be reduced.