特殊类型阑尾炎的临床特点与诊断治疗研究

Research on clinical characteristics and diagnosis and treatment of special types of appendicitis

目的:探讨特殊型阑尾炎的临床特点、诊断与治疗情况。方法:收治特殊类型阑尾炎患者88例,回顾性分析其临床资料。结果:46例老年性阑尾炎均获得准确诊断,6例保守治疗痊愈,40例行手术治疗痊愈。22例小儿急性阑尾炎3例误诊,1例保守治疗痊愈,21例手术治疗痊愈。20例妊娠阑尾炎均获得准确诊断,4例非手术治疗痊愈,16例手术治疗痊愈。结论:特殊类型阑尾炎病理生理特点及临床表现复杂,早期准确诊断并及早采取有效治疗是改善预后的关键。

Objective:To investigate the clinical characteristics,diagnosis and treatment of special appendicitis.Methods:88 cases of special type of appendicitis were selected,and the clinical data were retrospectively analyzed.Results:46 cases of senile appendicitis were diagnosed correctly;6 cases were cured by conservative treatment;40 cases were cured by surgical treatment.In22 cases of acute appendicitis,3 cases were misdiagnosed;1 case was cured by conservative treatment;21 cases were cured by surgical treatment.20 cases of pregnancy appendicitis were diagnosed correctly;4 cases were cured by non operative treatment;16cases were cured by surgical treatment.Conclusion:The pathophysiology and clinical manifestations of the special type of appendicitis were complex,and early diagnosis and effective treatment were the keys to improve the prognosis.