CT辅助下阑尾周围脓肿的分型及可切除性分析
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摘要
探讨阑尾周围脓肿在CT辅助下的分型及其可切除性。回顾性分析扬州大学附属医院2013年3月—2018年1月收治的阑尾周围脓肿在CT下的表现,依据阑尾局部或根部结构是否可见,将其分为三型,结合手术的相关资料,客观评估其不同分型的可切除性。Ⅰ型患者75例,接受手术50例;Ⅱ型患者15例,接受手术6例;Ⅲ型患者175例,均未接受手术。Ⅰ型和Ⅱ型中接受手术治疗患者均顺利完成阑尾切除,阑尾切除率100%。在阑尾周围脓肿中,Ⅰ～Ⅱ型具有可切除性,Ⅲ型是否可手术切除有待进一步探讨。
引文
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[8]胡海涛,赵普.腹腔镜手术治疗阑尾周围脓肿31例[J].中国微创外科杂志,2013,13(11):1049-1051.
[9]钟克力,陈杰,杨明利,等.腹腔镜手术治疗阑尾周围脓肿的对比分析[J].中华普外科手术学杂志(电子版),2013,7(2):140-141.
[10]何铂玲,黎晓晖.阑尾脓肿手术治疗和非手术治疗效果观察[J].中国实用医药,2017,12(4):40-42.
[2] Di Saverio S, Birindelli A, Kelly MD, et al. WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis[J]. World J Emerg Surg, 2016, 11:34.
[3] Tannoury J, Abboud B. Treatment options of inflammatory appendiceal masses in adults[J]. World J Gastroenterol, 2013, 19(25):3942-3950.
[4] Karaca I, Altintoprak Z, Karkiner A, et al. The management of appendiceal mass in children:is interval appendectomy necessary[J].Surg Today, 2001, 31(8):675-677.
[5] Simillis C, Symeonides P, Shorthouse A J, et al. A meta-analysis comparing conservative treatment versus acute appendectomy for complicated appendicitis(abscess or phlegmon)[J]. Surgery, 2010,147(6):818-829.
[6] Andersson RE, Petzold MG. Nonsurgical treatment of appendiceal abscess or phlegmon-A systematic review and, meta-analysis[J].Annals of Surgery, 2007, 246(5):741-748.
[7]易石坚,王兴群,赵振伟,等.腹腔镜一期阑尾切除治疗阑尾周围脓肿的临床研究[J].中国普通外科杂志,2010,19(9):1051-1052.
[8]胡海涛,赵普.腹腔镜手术治疗阑尾周围脓肿31例[J].中国微创外科杂志,2013,13(11):1049-1051.
[9]钟克力,陈杰,杨明利,等.腹腔镜手术治疗阑尾周围脓肿的对比分析[J].中华普外科手术学杂志(电子版),2013,7(2):140-141.
[10]何铂玲,黎晓晖.阑尾脓肿手术治疗和非手术治疗效果观察[J].中国实用医药,2017,12(4):40-42.