摘要
目的探讨盲部憩室炎的诊断和手术方式的选择。方法回顾性分析23例盲部憩室炎的临床资料,包块临床表现、腹部体征、辅助检查、手术方式及随访结果。结果 23例均有右下腹疼痛及右下腹压痛。术前诊断困难,仅通过B超及钡灌肠结肠造影和结肠镜确诊,3例通过放射学检查确诊,20例诊断为急性阑尾炎,保守治疗1例,22例手术治疗。全组患者均获治愈,无严重并发症发生。结论盲肠憩室炎的临床特征与急性阑尾炎相似,极易误诊为急性阑尾炎等。术中应注意探查,避免遗漏病变。根据憩室具体情况决定手术方式。
Objective To investigate the clinical diagnosis and treatment of cecal diverticulitis. Methods Totally 23 cases with cecal diverticulitis admitted were available for evaluation retrospectively. Results 3 cases were diagnosed accurately by CT and barium enema 20 cases were misdiagnosed as acute appendicitis and finally confirmed through abdominal laparotomy. 1 case accepted conservative therapy, 22 cases accepted operation. Conclusion ltrasonography,CT and barium ene- ma are effective means for diagnosis. The patients have no severe inflammation, and the conservative treatment with antibiotics is effective. The primary mode of operation is ileocecal resection.
出处
《医药论坛杂志》
2010年第9期35-36,38,共3页
Journal of Medical Forum
关键词
盲肠憩室炎
急性阑尾炎
误诊
手术方式
Cecal diverticulitis
Misdiagnosis
Appendicitis
Operation way
