血吸虫性阑尾炎56例临床分析 |
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【摘要】 目的 探讨血吸虫性阑尾炎发病机制、临床表现及治疗方法。方法 回顾性分析56例经病理诊断证实的血吸虫性阑尾炎的临床资料。结果 40岁以上的患者的血吸虫性阑尾炎发病率较高,在切除的阑尾标本中均可见粘膜下有血吸虫卵沉积;除1例病人二期缝合治愈外,其余病人均一期愈合出院。结论 血吸虫性阑尾炎的临床表现与一般阑尾炎无明显区别,术前难以确诊,需在术后经病理证实。对于有疫区居住史及疫水接触史的腹痛病人应考虑到本病的可能。
【关键词】 血吸虫;阑尾炎;病理诊断
Abstract: Objective To explore the pathogenesy,clinical presentation and therapy of the schistosomal appendicitis. Methods The information of surgical treatment was analyzed retrospectively in 56 cases of schistosomal appendicitis. All cases were confirmed by pathologic diagnosis. Results The highest incidence of schistosomal appendicitis was recorded after 40 years age. Ova were seen in the submucosal layers of all the excised appendices. All cases healed after primary suture except one. Conclusion There is no obviously difference between the schistosomal appendicitis and general appendicitis in clinical presentation. It is dif [1] [2] [3] [4] [5] 下一页 |
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