【中图分类号】R656.8 【文献标识码】B 【文章编号】1672-3783(2011)07-0014-02

    【摘要】目的：总结Ⅰ期阑尾切除术治疗急性阑尾炎合并阑尾周围脓肿的可行性、优点，为打破传统的保守治疗观念进行探索性尝试。方法：通过对本院2010年2月-2011年6月诊治的18例急性阑尾炎合并阑尾周围脓肿患者行Ⅰ期阑尾切除的临床资料进行回顾分析。结果：18例患者均实施Ⅰ期阑尾及脓肿切除术，术后未出现切口感染、早期炎性肠梗阻及肠瘘等并发症，平均住院8.24d。结论：恰当的手术方法可作为急性阑尾炎合并阑尾周围脓肿Ⅰ期阑尾切除的可行性选择，其具有缩短病程，降低医疗费用，安全可靠，值得临床推广运用。

    【关键词】阑尾周围脓肿；Ⅰ期手术治疗；可行性研究

    Acute appendicitis Appendiceal abscess combined Phase Ⅰ appendectomy experience Liu Tao

    【Abstract】Objective: Phase Ⅰ appendectomy for acute appendicitis appendix abscess merger feasibility, advantages, to break the traditional conservative treatment of the concept of exploratory attempt. Methods: The hospital in February 2010 June 2011 diagnosis and treatment of 18 cases of acute appendicitis combined appendix abscess appendectomy in patients with stage Ⅰ clinical data were analyzed retrospectively. Results: 18 patients were stage Ⅰ appendectomy and abscess implementation of resection, postoperative wound infection does not appear, the early inflammatory intestinal obstruction and fistula and other complications, average length of stay 8.24d. Conclusion: The appropriate surgical approach can be combined as acute appendicitis appendix abscess stage Ⅰ viable option for appendectomy, its has a shorter duration and lower medical costs, safe, reliable, worthy of clinical use. ......