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目的比较急性阑尾炎即刻和延期阑尾切除术的临床疗效。方法筛选2007-2012年病理证实为急性阑尾炎并接受阑尾切除术的患者,根据手术时间将患者分为早期组及延期组,比较手术期间数据和阑尾病理状态。结果共有769例病理证实为急性阑尾炎患者。早期组术后并发症发生率和坏疽性阑尾炎发生率明显低于延期组(P<0.01)。延期组3例(3.6%)患者死亡,早期组未见死亡病例。结论发病24h后进行阑尾切除术会增加术后并发症发生率,建议急性阑尾炎发病12h内完成阑尾切除术。
Objective To compare the clinical efficacy of acute appendicitis with immediate and delayed appendectomy. Methods From 2007 to 2012, patients with acute appendicitis and appendectomy were screened. According to the operation time, patients were divided into the early group and the deferred group, and the data of the operation and the pathological state of the appendix were compared. Results A total of 769 cases of pathologically confirmed acute appendicitis patients. The incidence of postoperative complications and gangrenous appendicitis in the early stage group was significantly lower than that in the delayed stage group (P <0.01). Delayed group of 3 patients (3.6%) patients died, early death cases were not seen. Conclusion Appendectomy will increase the incidence of postoperative complications 24 hours after onset, it is recommended to complete appendectomy within 12 hours of onset of acute appendicitis.