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目的 探讨原发性阑尾肿瘤的临床特点和外科治疗。方法 回顾性分析我院 1979～ 1999年 13例原发性阑尾肿瘤的临床资料。〗HTH〗结果 阑尾粘液性肿瘤 4例 ,类癌 5例 ,腺癌 3例 ,平滑肌肉瘤 1例。术前无 1例获得正确诊断。本组 13例均行手术治疗 ,根据术中冰冻病理结果 ,类癌肿块直径 >1cm者行右半结肠切除术 ,腺癌者行右半结肠切除加区域淋巴结清扫术 ,余 5例仅行阑尾切除术 ,获得良好疗效。结论 阑尾肿瘤缺乏特异表现 ,误诊率极高。钡灌肠及B超有助于诊断 ,强调术中冰冻切片的重要性 ,手术为主要的治疗方法 ,术式选择是影响预后的关键因素
Objective To investigate the clinical features and surgical treatment of primary appendicitis. Methods The clinical data of 13 patients with primary appendicitis from 1979 to 1999 in our hospital were retrospectively analyzed. 〗 〖HTH results appendix mucinous tumors in 4 cases, carcinoid in 5 cases, adenocarcinoma in 3 cases, 1 case of leiomyosarcoma. None of the patients got the correct diagnosis before operation. The group of 13 patients underwent surgical treatment, according to intraoperative frozen pathology results, carcinoid tumor diameter> 1cm line of right hemicolectomy, adenocarcinoma line of right colon resection plus regional lymph node dissection, the remaining 5 cases only appendectomy Excision, access to good effect. Conclusion The appendix tumor lacks specific performance and the rate of misdiagnosis is very high. Barium enema and B-ultrasound help diagnosis, emphasizing the importance of intraoperative frozen section, surgery as the main treatment, surgical selection is the key factor affecting the prognosis