阑尾切除术后腹部炎症性肿块

摘要

Objective　 To investigate the causes and therapy　of inflammatory abdominal mass after appendectomy.　 Methods　21 cases with inflammatory abdominal mass after appendectomy, which were diagnosed and treated in our hospital from 1980 to 1998, were retrospectively analyzed.　 Results　Of 21 cases, 17 were male, 4 were female. Follow-up of 3 months to 2 years found no recurrence among the 13 cases receiving medical therapy. 8 cases underwent surgical excision (4 of which had been preoperatively misdiagnosed as carcinoma or tuberculosis) with pathology-proved diagnosis of inflammatory mass.　Conclusions　Afflicting mainly male youths, this disease is a kind of local chronic inflammatory hyperplastic entity, which subsides by medical therapy. Surgery is only indicated in cases when carcinoma or tuberculosis could not be excluded.%目的探讨阑尾切除术后腹部炎性肿块发生的原因、预防及治疗措施。方法回顾性分析我院1980～1998年间诊治的21例阑尾切除术后出现腹部肿块病例。结果 21例患者中，男17例，女4例。保守治疗13例，随访3个月至2年无再发；手术切除8例（其中4例术前误诊为癌或结核），病理检查均提示炎症性肿块。结论本病多发生于男性青壮年，是一种感染和异物反应引起的局部慢性炎症增殖性改变。一旦确诊，应以保守治疗为主；保守治疗无效，又难以排除癌或结核时，应及早手术切除。