异位阑尾炎的临床诊治

Diagnosis and treatment for ectopic appendicitis

摘要:

目的：探讨异位阑尾炎的成因、临床表现及诊断与治疗。方法：对本院2003年12月－2011年10月间的异位阑尾炎患者82例进行回顾性研究，归纳总结其临床表现及诊治经验。结果：术前有67例患者得到正确诊断，误诊11例，4例无法明确诊断。所有病例均予以手术治疗，术中均证实为异位阑尾炎，术后患者顺利出院。结论：异位阑尾炎临床表现多种多样，易引起误诊误治。目前超声检查是诊断异位阑尾炎的首选检测手段。腹腔镜阑尾切除术对异位阑尾炎的治疗颇具优势。

Abstract:

Objective：To investigate the cause，clinical menifestation，diagnosis and treatment for ectopic appendicitis. Methods：To－tally 82 patients with ectopic appendicitis were derived from the second affiliated hospital of Chongqing medical university between December 2003 and October 2011. The clinical manifestation and experiences of diagnosis and treatment were summarized and ana－lyzed retrospectively. Results：Sixty-seven cases were correctly diagnosed before operation，11 cases were misdiagnosed and 4 cases had uncertain diagnosis. All patients were given the operation and were confirmed to be ectopic appendicitis during the operation. All patients were discharged successfully after the operation. Conclusions：The clinical manifestation of ectopic appedicitis is diversified，which can easily cause misdiagnosis. At the moment，ultrasonography is the preferred method in diagnosing ectopic appedicitis. La－paroscopic appendectomy has obviously superiority over the other treatments for ectopic appendicitis.