阑尾周围脓肿早期手术治疗的探讨

目的探讨阑尾周围脓肿早期手术治疗的可行性及安全性。方法选取2009年1月至2012年6月50例l刺尾脓肿早期手术病人为脓肿组，2012年1月至2012年6月50例急性阑尾炎手术病人为对照组，对术后住院天数、住院费用、手术时间、手术出血量及并发症等临床指标进行回顾性对照分析。结果脓肿组的手术时间（68±23）min与对照组手术时间（49±14）min有显著差异（P〈0．05），2组的手术出血量、术后住院天数、平均住院费用、手术并发症无显著差异（P〉0．05）。发生并发症的两组患者均痊愈出院。结论阑尾脓肿早期手术治疗可以替代传统保守疗法，而且是安全的；不但避免二次住院及诊治失误，而且节省了住院费用及医疗成本支出。

Investigation of early appendectomy in appendicular abscess

Objective To evaluate the feasibility and safety of early appendectomy in appendicular abscess. Methods Fifty patients with appendicular abscess who received early appendectomy in our hospital from January 2009 to June 2012 were considered as the abscess group, 50 cases patients received acute appendicitis surgery were regarded as the control group. The postoperative hospital stay, cost of hospi- talization, operative time, the amount of bleeding in operation and complications were retrospectively analyzed. Results The operative time of abseess group was （ 68 ± 23 ） rain, and the control group was （49 ± 14） rain （ P 〈 0.05 ）. There were significant differences in operating time between two groups. But there was no significant difference in intraoperatve blood soss,length of stay, the average hospitalization charge and surgical complications （P 〉 0.05 ）. All patients were cured. Conclusion Early treatment of appendiceal abscess is safe and alternate to conventional conservative treatment followed by interval appendectomy. It is not only to avoid the secondary hospitalization and treatment fail-ure, but also save the cost of hospitalization and minimize the medical expenses.