临床小儿外科杂志2012，Vol.11Issue(5)：335-337,3.DOI:10.3969/j.issn.1671-6353.2012.05.005
小儿阑尾周围脓肿61例临床分析
Analysis of the treating experience of 61 children with appendicular abscess
张宏武 1贾钧 1高阳旭 1刘宝富 1王淑芹1
作者信息
- 1. 北京大学第一医院小儿外科,北京市,100034
- 折叠
摘要
Abstract
Objective To summarize the 19 - year clinical experience of appendicular abscess in children in our hospital,and to study the change of the treating strategy. Methods We retrospectively analyzed 61 children with appendicular abscess which was admitted from 1993 to 2011 in our hospital. They were treated by intravenous antibiotics,physical therapy,sonography guided drainage and operations. Results 32 patients underwent conservative therapy, among which one patient complicated with bowel obstruction 4 weeks after initial therapy and one patient had appendicular abscess again 1 year after initial therapy. Sonography guided drainage was completed in 4 patients,and there was no complication. 25 patients underwent operation (10 patients underwent abscess incision drainage and appendectomy,while the other 15 patients underwent abscess incision drainage only). Ihe operation complications which included incision infection, bowel obstruction and residual abscess occurred in 11 patients. 4 patients had acute appendicitis in the follow-up period,and received appendectomy. Among the 4 patients, appendicoliths were present in 3 of them. Conclusions Conservative therapy with intravenous antibiotics is of first choice in the treatment of children with appendicular abscess. For children with a big abscess, sonography guided drainage should be recommended. Selective appendectomyshould be performed in patients presenting with an appendicolrih.关键词
阑尾/脓肿/儿童Key words
Appendix/ Abscess/ Child引用本文复制引用
张宏武,贾钧,高阳旭,刘宝富,王淑芹..小儿阑尾周围脓肿61例临床分析[J].临床小儿外科杂志,2012,11(5):335-337,3.
