摘要
目的总结腹腔镜诊治非急性阑尾炎性右下腹痛经验体会。方法回顾性分析2010年1月至2012年5月,19例以右下腹痛为主要临床表现的患者临床资料、诊治经过及预后。结果 19例病例中大网膜扭转并坏死3例,盲肠化脓性炎并穿孔4例,盲肠脂肪垂化脓性炎3例,盲肠憩室炎2例,克罗恩病1例,阑尾假粘液瘤3例,输卵管积脓3例。所有病例中,1例克罗恩病和2例盲肠憩室炎终止手术行内科治疗,1例盲肠化脓性炎并穿孔中转开腹行回盲部切除术,其他病例在腹腔镜下行以下手术:大网膜部分切除3例,回盲部切除2例,盲肠脂肪垂切除3例,阑尾切除2例,右半结肠切除2例,妇科治疗3例。术后出现腹腔炎性肉芽肿1例,无死亡病例。结论右下腹痛往往误诊为急性阑尾炎,腹腔镜可以减少盲目探查和明确诊断,同时可以完成相应治疗;腹腔镜可作为右下腹痛患者诊治的理想选择。
Objective To summary the experience of diagnosis and treatment of right lower quarter abdominal pain caused not by acute appendicitis with laparoscopy. Methods The clinical data, process of diagnosis and treatment and prognosis of 19 cases with right lower abdominal pain between January 2010 and May 2012 were analyzed retrospectively. Results All of 19 cases, there was 3 cases with omental torsion with nicrosis, 4 with suppurative typhlitis with perforation, 3 with suppurative inflammation fat hanging of caecum, 2 with diverticulitis of caecum, 1 with crohn＇s disease, 3 with pseudo myxoma of appendix and 3 with empyema of fallopian tube. Fifty cases were operated by laparoscopy. Conclusions Right lower quarter was always misdiagnosed as acute appendicitis, laparoscopy may be ideal selection for patient with right lower quarter.
出处
《中华腔镜外科杂志（电子版）》
2012年第4期57-58,共2页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
腹腔镜
诊治
右下腹痛
Laparoscope
Diagnosis and treatment
Right lower quarter abdominal pain
