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目的探讨急性阑尾炎的诊断与治疗方法。方法回顾分析2003~2007年经治的300例急性阑尾炎患者的临床资料,男198例,女102例,年龄5~72岁。结果300例急性阑尾炎患者行阑尾切除289例,保守治疗11例(患者拒绝手术治疗)。切口感染6例,肠粘连2例。结论急性阑尾炎病情变化多端,诊断也较困难。在治疗上,应对每一具体病例认真诊断,早期手术,防止并发症,提高治愈率,有效控制切口感染,以减轻患者的痛苦和经济及精神负担。
Objective To investigate the diagnosis and treatment of acute appendicitis. Methods The clinical data of 300 patients with acute appendicitis treated from 2003 to 2007 were retrospectively analyzed. There were 198 males and 102 females, aged from 5 to 72 years. Results A total of 300 cases of acute appendicitis patients underwent appendectomy 289 cases, conservative treatment of 11 cases (patients refused to surgery). Incision infection in 6 cases, intestinal adhesion in 2 cases. Conclusions Acute appendicitis varies in variety and diagnosis is more difficult. In the treatment, we should conscientiously diagnose each specific case, early surgery, prevent complications, improve the cure rate, effective control of incision infection, in order to reduce the patient’s suffering and economic and mental burden.