一期腹腔镜手术治疗阑尾周围脓肿保守治疗不佳患者的疗效观察
Observation of the Therapeutic Effect of One-Stage Laparoscopic Surgery on Patients with Poor Conservative Treatment of Periappendicular Abscess

目的：观察腹腔镜阑尾切除术治疗阑尾周围脓肿保守治疗不佳患者的疗效。方法：对北华大学附属医院普外二科收治的7例阑尾周围脓肿经保守治疗后予腹腔镜对阑尾周围脓肿切开引流术联合阑尾切除术。结果：7例患者均一期腹腔镜手术完成，阑尾完整切除，平均时长90分钟，未中转开腹，患者术后均恢复良好并出院。结论：腹腔镜下阑尾周围脓肿切开引流术联合阑尾切除术，加速患者疾病康复，减轻炎症反应，改善预后，对治疗阑尾周围脓肿治疗安全、有效，可以应用及推广。
Objective: To observe the efficacy of laparoscopic appendectomy in the treatment of periappendicular abscess in patients with poor conservative treatment. Methods: 7 cases of periappendiceal abscess were treated by laparoscopic incision and drainage combined with appendectomy after conservative treatment in the second Department of General Surgery, Affiliated Hospital of Beihua University. Results: All of the 7 patients underwent one-stage laparoscopic surgery and complete appendectomy, with an average duration of 90 minutes, without conversion to laparotomy. All patients recovered well after surgery and were discharged from hospital. Conclusion: Laparoscopic incision and drainage combined with appendectomy can accelerate the recovery of the disease, reduce the inflammatory response and improve the prognosis. It is safe and effective for the treatment of periappendicular abscess, and can be applied and popularized.