摘要
目的：探讨手术治疗急性阑尾周围脓肿的临床疗效。方法：选取我院2007年8月~2010年7月收治的124例急性阑尾周围脓肿患者的临床资料，根据患者情况进行手术治疗和药物治疗，比较两种治疗方法的临床疗效、预后及复发率。结果：行Ⅰ期手术治疗84例，切口感染5例，平均住院时间14.3±4.5d，随访12个月，无复发。行保守治疗40例，转手术治疗5例，平均住院时间17.4±5.6d，随访12个月，复发7例。结论：急性阑尾周围脓肿行手术治疗是一种积极可取的治疗手段，住院时间短，保守治疗效果较好，但是复发率较高，在临床工作中要根据患者的情况选择治疗方法。
Objective： To evaluate the surgical treatment of acute appendicular abscess in clinical efficacy. METHODS： A hospital in August 2007 - July 2010 treated 124 cases of acute appendicitis abscess in patients with clinical data, according to the patients treated with surgery and medication, compared the clinical efficacy of two treatment methods, prognosis and recurrence rate . Results： The surgical treatment of stage Ⅰ line 84 cases of wound infection in 5 cases, average length of stay 14.3 ± 4.5d, followed up for 12 months without recurrence. Line of conservative treatment of 40 cases, transfer surgery in 5 cases, average length of stay 17.4 ± 5.6d, followed up for 12 months, recurrence in 7 cases. Conclusion： Acute appendicitis abscess, surgical treatment is a positive desirable treatment, shorter hospital stay, conservative treatment is better, but the relapse rate was higher in the clinical work according to the patient to choose treatment.
