阑尾炎(术后)与肛肠疾病相关性临床分析

Clinical analysis of appendicitis(postoperative)and anorectal diseases

目的 研究阑尾炎（术后）出现结直肠肛门疾病的发病情况以及两者之间的关系和临床意义.方法 回顾性分析有阑尾炎（手术）病史的结直肠肛门疾病患者的病例,主要从病种、相隔时间、年龄、性别、不同病种发生率等方面进行回顾性分析.结果 在本组临床研究资料中,因结直肠肛门疾病住院的肛肠外科患者中有阑尾炎（手术）病史者占18.1％,其中结直肠癌患者占6.5％,结直肠良性息肉患者占2.0％,一般肛肠疾病（包括痔、肛裂、肛瘘与肛周脓肿等）患者占9.6％;高峰日期间隔为0～9年,尤其是结直肠肛门癌等恶性疾病最早在阑尾炎术后诊断结肠恶性肿瘤再次行手术治疗只有3个月.结论 阑尾炎是结直肠肛门外科疾病的早期信号,也可以和结直肠肛门各种疾病同时出现,有阑尾炎（手术）病史的患者进行定期结肠镜等检查和终身的随访具有非常重要的临床意义.

Objective To study the relationship between the incidence and their clinical significance of appendicitis postoperative and colorectal and anal diseases.Methods a retrospective analysis of colorectal and anal disease＇s patients with appendicitis （operation） history,mainly from the disease,inspection interval,age and sex,different disease incidence and so on.Results In this group of clinical data,the inpatients of colorectal and anal disease with appendicitis （operation） history is in18.1％,which accounted for 6.5％ of colorectal cancer,benign colorectal polyp accounted for 2.0％,the general anorectal diseases （including hemorrhoids and anal fissure,anal fistula and perianal abscess etc.） accounted for 9.6％; the peak date interval is 0-9 years of postoperative,especially the malignant diseases such as colorectal and anal cancer in the early diagnosis of malignant tumor of colon after appendicitis for second operation only three months.Conclusion appendicitis is the early signal of colorectal surgery＇ disease,and colorectal diseases with appendicitis can also appear at the same time,the patients with a history of appendicitis （operation） to do regular colonoscopic examination and lifelong follow-up has very important clinical significance.