阑尾切除术后腹部炎症性肿块

Inflammatory abdominal mass after appendectomy

目的 探讨阑尾切除术后腹部炎性肿块发生的原因、预防及治疗措施。方法 回顾性分析我院 1980～ 1998年间诊治的 2 1例阑尾切除术后出现腹部肿块病例。结果 2 1例患者中 ,男17例 ,女 4例。保守治疗 13例 ,随访 3个月至 2年无再发 ;手术切除 8例 (其中 4例术前误诊为癌或结核 ) ,病理检查均提示炎症性肿块。结论 本病多发生于男性青壮年 ,是一种感染和异物反应引起的局部慢性炎症增殖性改变。一旦确诊 ,应以保守治疗为主 ;保守治疗无效 ,又难以排除癌或结核时 。

Objective To investigate the causes and therapy of inflammatory abdominal mass after appendectomy.Methods21 cases with inflammatory abdominal mass after appendectomy, which were diagnosed and treated in our hospital from 1980 to 1998, were retrospectively analyzed. Results Of 21 cases, 17 were male, 4 were female. Follow up of 3 months to 2 years found no recurrence among the 13 cases receiving medical therapy. 8 cases underwent surgical excision (4 of which had been preoperatively misdiagnosed as carcinoma or tuberculosis) with pathology proved diagnosis of inflammatory mass.[WT5”HZ]Conclusions Afflicting mainly male youths, this disease is a kind of local chronic inflammatory hyperplastic entity, which subsides by medical therapy. Surgery is only indicated in cases when carcinoma or tuberculosis could not be excluded.