[ Objective ] To discuss the effectiveness and safety of Fecalith Obstructive Appendicitis (FOA) under endoscopy. [Methods] 23 Patients with FOA diagnosed by Color Doppler were treated with endoseopic retroeatheterism appendixgraphy (ERAG), and their fecalith was taken out. Follow-up was performed to compare the immune index between the time before and after the operation. [ Result] All the fecalith of the patients was taken out successfully, and their clinical symptoms disappeared with no serious complications. There was no significant difference of the immune index between the time before and after the operation. All but one of the patients were followed up successfully and not recurred during 3 ～ 18 months. [Conclusion] Treatment of FOA under endoscopy is safe and effective, and it will be a better routine of appendicitis treatment with organ integrity.%目的 探讨大肠镜下治疗粪石梗阻性阑尾炎的效用性、安全性.方法 选择下腹部阑尾区彩色多普勒检查证实为粪石梗阻性阑尾炎患者23例,实施经大肠镜逆行插管阑尾造影,并在内镜下将粪石取出.追踪观察患者的临床症状,并比较粪石取出前、后的免疫指标的变化.结果 所有患者阑尾内粪石均顺利取出,临床症状消失,无严重并发症.免疫指标治疗前、后差异无显著性.随访3～18个月除1例失访外,所有患者均无复发.结论 内镜下治疗粪石梗阻性阑尾炎是安全、有效的,为保留器官完整性治疗阑尾炎提供良好的治疗途径.
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