原发性阑尾肿瘤临床诊治分析

Clinical diagnosis and treatment of primary tumors of the appendix.

目的 探讨原发性阑尾肿瘤的诊断与治疗问题。方法 结合国内外文献对 196 3～ 1998年收治的 41例原发性阑尾肿瘤进行回顾性分析。结果 类癌 17例 ,粘液性肿瘤 15例 ,腺癌 9例。发病率 0 .40 %。均经手术治疗 ,术前误诊率 97.6 % ,术中诊断率仅 31.7%。结论 阑尾肿瘤缺乏特异表现 ,与阑尾炎症密切相关 ,误诊率极高。钡灌肠及B超有助于诊断 ,强调术中冰冻切片的重要性。手术为主要的治疗方法 。

Objective To study the diagnosis and treatment of primary tumors of the appendix.Methods 41 cases of primary tumors of the appendix encountered in our hospital from 1963 to 1998 were retrospectively analysed and relative literatures were reviewed.Results among 41 cases,there were 17 cases of carcinoid,15 cases of mucinous tumor and 9 cases of adenocarcinoma.The morbidity was 0.40%.All cases underwent operation,the rate of misdiagnosis was 97.6% before operation,the rate of intraoperative diagnosis was only 31.7%.Conclusions Appendicular tumors lack particular presantation,which presents similar syptoms as appendicular inflammation.The rate of misdiagnosis is extremely high.Barium enema and ultrasonography are helpful for diagnosis.Intraoperative frozen section is very important for diagnosis.Operation is a principle therapy,correct operation method is important for improving the prognosis of appendicular tumor.