阑尾周围脓肿

早期手术治疗阑尾周围脓肿63例分析

Analysis of early treatment of operation on 63 cases appendiceal abscess

结果卵巢肿瘤伴扭转以囊性畸胎瘤多见，易误诊为阑尾炎、阑尾周围脓肿、腹腔血肿、大网膜囊肿、肠系膜囊肿、骶部囊性畸胎瘤等疾病。

Results The most common kind of ovarian tumor with torsion is cystoid teratoma , and the disease was often misdiagnosed as appendicitis , appendiceal abscess , intra abdominal hematoma , omental cyst , mesenteric lymphadenitis , and cystoid teratoma , in sacrococcygeal region , etc.

阑尾周围脓肿手术治疗和保守治疗的临床疗效比较

The Clinical Observation of Periappendiceal Abscess Cured in Operations or No-operation

68例阑尾周围脓肿Ⅰ期阑尾切除引流术

68 cases of periappendicular abscess treated by appendectomy drainage in period I

阑尾周围脓肿的X线表现（附10例报告）

X-ray Manifestations of Periappendicular Abscess ( A Report of 10 Cases )

双管引流在坏疽穿孔性阑尾炎及阑尾周围脓肿手术中的应用

Application of double-tube drainage in patients with complicated appendicitis

方法：回顾性分析1990年～2005年收治103例阑尾周围脓肿的临床资料。

Methods : the clinical data of103 patients with periappendicural absecess from1990to2005were analyzed retrospectively .

目的探讨阑尾周围脓肿早期手术的疗效。

Objective To discuss the effects of early treatment of operation on appendiceal abscess .

目的探讨急性阑尾周围脓肿的手术时机及处理对策。

Objective To investigate the optimal operation time and treatment strategy of acute periappendicular abscess .

左半结肠癌伴梗阻行一期切除吻合术的体会右半结肠癌误诊为阑尾周围脓肿48例分析

Right colon caner complicated with appendicitis misdiagnosed as appendicular abscess : An analysis of 48 cases

单用抗生素与经皮穿刺抽脓加抗生素治疗阑尾周围脓肿的疗效对比分析

Antibiotics alone versus drawing pus through percutaneous puncture with antibiotics in the treatment of periappendiceal abscess

经腹腔镜治疗阑尾周围脓肿

Laparoscopic Therapy of Appendix Peripheral Abscess

结论：只要操作得当，早期阑尾周围脓肿的一期手术治疗安全可行。

Conclusion : timely and appropriate one-stage operation in early periappendicural absecess is safe and feasible .

阑尾周围脓肿与癌肿的主要区别是前者无粘膜破坏。

The main difference between appendiceal abscess and carcinoma was that the former showed no mucosal destruction .

结果25例中误诊为阑尾炎穿孔腹膜炎4例，阑尾周围脓肿3例，肠梗阻2例。

Results 4 of the 25 cases were misdiagnosed as perforation of acute appendicitis . 3 as access of peri appendix , and 2 as ileus .

目的：观察中药内服外敷治疗阑尾周围脓肿患者临床疗效并简要探讨其作用机制。

Objective : Observe to externally apply after proven prescription External Application Chinese Herbs reats around the appendicitis the abscess patient clinical curative effect and discusses its function mechanism .

结果单纯性阑尾炎、急性化脓性阑尾炎、坏疽穿孔性阑尾炎及阑尾周围脓肿的显示率分别为57%、95%、75%、83%。

Results The ratio of lesion displaying for pure appendicitis , acute suppurative , gangrene perforating and periappendiceal abscess appendicitis were 57 % , 95 % , 75 % and 83 % respectively .

结论：1.中药内服外敷能促进阑尾周围脓肿患者右下腹疼痛消失时间，缩短体温恢复正常时间及包块消散时间。

Conclusion : 1 . Internal and External Medicine promotes around the appendix abscess patient abdominal pain vanishing time , the body temperature to restore the normal time , the package block dissipation time . 2 .

对68例阑尾周围脓肿采用Ⅰ期阑尾切除引流术，阑尾残端行荷包缝合或8字缝合，阑尾根部腐烂不能缝合行细导尿管引流，对脓腔放乳胶管引流。

To apply appendectomy drainage on 68 cases of periappendicular abscess , to perform pocket sewing or 8-like sewing on remnants of appendix and apply catheterization tube to sew up the corrupted roots of appendix , then put emulsion tube in abscess cavity .

近年来研究表明还可用于原发性肝癌疼痛、静脉脉管炎、重度褥疮、痔疮、麦粒肿、急性软组织损伤、阑尾周围脓肿及会阴切口硬结等。

Recent studies show that it may be also used to treat primary carcinoma pain of liver , vein angitis , heavy bed sore , hemorrhoid , sty , acute soft tissue injury , periappendicular abscess , induration of incisional wound of perineum etc.

8例患者行阑尾切除或阑尾周围脓肿切开引流时发现为右半结肠肿瘤，故术中又行右半结肠切除或回结肠短路手术；

Patients were given right hemicolectomy or ileotransverse colostomy during the operation of appendectomy .

阑尾穿孔者6例，阑尾周围脓肿者4例。

The perforations in appendix were in 6 patients , the abscesses surrounding area were in 4 patients .

结果：1261例中，1249例在腹腔镜下完成阑尾切除术，2例行阑尾周围脓肿引流术，10例为阑尾根部穿孔或腹膜后阑尾中转剖腹手术。

Results : Of 1261 patients , 1249 cases were operated on by laparoscopic appendectomy , 2 cases were operated on by appendix peripheral abscess drainage , 10 cases were converted to open laparotomy because of appendicular root perforation or retroperitoneum appendix .