【摘要】 目的 了解妇科手术时附带切除阑尾的安全性。 方法 2002年10月～2004年10月，将152例经腹行子宫或卵巢切除术的患者，分为附带切除阑尾组和不切除阑尾组(对照组)，统计二组患者并发症。 结果 切除阑尾组患者的住院天数和手术至进食的时间比对照组略长，发热、急性蜂窝织炎、肠梗阻、肺炎及其他并发症差异无显著性(P>0.05)。 结论 妇科手术时附带切除阑尾不增加并发症。

    关键词 子宫/卵巢切除术 阑尾切除术

    The safety of incidental appendectomy at the time of abdominal hysterectomy

    Zhang Lianying，Fu Ke，He Yingjie，et al.

    Department of Obstetrics and Gynecology，The Fourth Hospital of Liaocheng City，Shandong252000.

    【Abstract】 Objective To assess the complication rates of incidental appendectomies in women who undergo benign gynecologic procedures.Methods This was a case-controlled study of patients who did(n=70women)or did not(n=82women)undergo incidental appendectomies at the time of an abdominal hysterectomy in2years.Com-plications were analyzed with two groups.Results No significant differences were found between the two groups with respect to complications.The mean length of hospital stay and the time of surgery to feed were longer in the group that did have incidental appendectomy than control.Conclusion An incidental appendectomy at the time of benign gyne-cologic procedures does not increase postoperative complications. ......