摘要
目的对急性未穿孔阑尾炎的手术治疗和保守治疗的疗效进行对比分析。方法选取248例急性未穿孔阑尾炎患者,144例行手术治疗,104例行保守治疗,记录两组患者在治疗后及治疗过程中的变化情况。结果手术组术后出现伤口感染者10例,出院后随访12个月,6例出现肠梗阻;保守组治疗2～4d后病情好转,但有4例行保守治疗后症状改善不明显,接受了手术治疗,随访12个月,10例患者复发。结论保守方式治疗急性未穿孔阑尾炎能在短时间内出现满意疗效,减少患者痛苦,明显缩短住院期限,但梗阻性阑尾炎复发率较高。
Objective To compare the efficacy of surgical treatment and conservative treatment in acute non-perforated appendicitis.Methods 248 cases with acute non-perforated appendicitis were selected,144 cases were treated by surgical treatment,104 cases were treated by conservative treatments,recorded the changes of the two groups after the treatment and during the treatment.Results 10 cases occurred wound infection in surgery group,12 months,follow-up after left hospital,6 cases occurred intestinal obstruction;After 2 to 4 days,conservative treatment,their conditions had been improved,but 4 cases had no obvious improvement after conservative treatment,accepted the surgical treatment and follow-up a year,10 patients relapsed.Conclusion Conservative treatment in acute non-perforated appendicitis can occur satisfactory outcome in a short period.It can reduce the suffering of patients and significantly shorter hospital stay period,but the recurrence rate of obstructive appendicitis is high.
出处
《中国医药科学》
2012年第22期203-204,共2页
China Medicine And Pharmacy
关键词
急性阑尾炎
手术治疗
保守治疗
Acute appendicitis
Surgery treatment
Conservative treatment
