小儿盲肠后位阑尾炎

摘要

This paper reports 106 cases of retrocecal appendicitis treated from 1974 to 1984.61 were male and 45 female with age ranging between 3 to 15 yrs.According to the findings at operation,retrocecal appendicitis canbe classified into two types:intraperitoneal and extraperitoneal.In children,this condition is difficult to diagnose because clinical syruptoms and signs are often atypical,and therefore, reontegenography is suggested to help diagnose suspected cases.Appendectomy was done in all the reported 106 cases without mortality.This series sees a perforation rate of 34% and an incidence of postoperative complications, mostly wound infection,of 25% . Incidence of perforation and wound infection appeared higher than in the nonretrocecal series.Hence, early diagnosis is important.%@@ 盲肠后位阑尾炎是指阑尾发炎而其位置在盲肠或升结肠后方,其尖端指向上方.由于此型多见(20～60% )且阑尾位置隐匿,体征不典型,临床诊断和治疗有一定困难.为此将我院1974～1984年,15岁以下之106例小儿盲肠后位阑尾炎分析总结如下.