摘要
目的探讨小儿阑尾脓肿的治疗。方法总结分析本院1990年至2009年收治的小儿阑尾脓肿318例,86例非手术治疗,232例手术治疗,其中191例行阑尾切除及腹腔冲洗,41例单纯腹腔引流。结果非手术治疗组与手术治疗组平均住院日分别为8.9 d和10.9 d,两组比较差异有统计学意义(P<0.01)。手术切除组中阑尾切除组与单纯腹腔引流组平均住院时间分别为10.2 d和12.8 d,两组比较差异有统计学意义(P<0.01)。191例行阑尾切除术后有2例残余脓肿、3例肠梗阻。全部病例均治愈,无死亡。结论小儿阑尾脓肿在诊断明确的前提下应根据患儿具体情况选择合适的治疗方案;婴幼儿阑尾脓肿宜早期手术治疗;合理应用抗生素对预后有重要影响。
Objective To explore the management of appendiceal abscess in children.Methods To analyse 318 cases of appendiceal abscess in children treated in our hospital from 1990 to 2009,including 86 cases of non-surgical treatment,232 cases of surgical treatment with 191 routine appendectomy and peritoneal washing and 41 cases of simple abdominal drainage.Results The average hospital stay of non-surgical treatment group and the surgical treatment group was 8.9 d and 10.9 d respectively.The average hospital stay of appendectomy group and simple peritoneal drainage group,was 10.2 d and 12.8 d respectively.Appendectomy group had two cases of abscess,3 cases of intestinal obstruction after operation.No case of death in all cases.Conclusion Both conservative and surgical management have their indications.The appendiceal abcess in infants and those with fecaliths need primary surgery.Rational use of antibiotics has a major impact on the prognosis.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第17期2323-2324,共2页
Chongqing medicine
关键词
阑尾脓肿
治疗
儿童
appendiceal mass
treatment
children
