李兴波 吕翠莲

【摘 要】目的：探讨普外科临床中针对急性阑尾炎疾病的诊治特点。方法：研究抽取普外科收治的急性阑尾炎患者80例，回顾分析，疾病診断均综合症状表现和影像检查结果进行分析，疾病治疗均采用手术疗法，包括开腹手术40例和非手术治疗40例。分析诊断效果和治疗效果。结果：术前通过综合分析症状表现、影像学诊断结果，共77例确诊，确诊率达96.25%，与金标准比较（P>0.05）；半年随访中非手术治疗组的复发率高于开腹手术组（P<0.05）；与非手术治疗组比较，开腹手术组的诊疗满意度较高（P<0.05）。结论：针对症状表现疑似阑尾炎急性发作患者通过影像学进一步检查可更加准确地掌握患者病情，开腹手术较非手术治疗对该病具有更直接的疗效。

【关键词】急性阑尾炎；影像学诊断；诊疗满意度

A Probe into the Clinical Diagnosis and Treatment of Acute Appendicitis in General Surgery Clinic

Li Xingbo1， Lv Cuilian2

1.Laiwu District Miaoshan Central Health Center， Shandong Jinan 271111，China；

2.Laiwu District Yangli Health Center， Shandong Jinan 271118，China

【Abstract】Objective：To investigate the diagnosis and treatment characteristics of acute appendicitis in general surgery.Methods：The study selected 80 patients with acute appendicitis who were admitted to the general surgery. Retrospective analysis showed that the diagnosis of the disease was analyzed by syndrome manifestations and imaging examination results. The disease treatment was performed by surgical treatment， including 40 cases of open surgery and 40 cases of non-surgical treatment.The effects of diagnosis and treatment were analyzed. Results：A total of 77 cases were diagnosed through comprehensive analysis of symptoms and imaging diagnosis results before surgery， with a diagnosis rate of 96.25%， which was compared with the gold standard（P>0.05）； The recurrence rate in the non-surgical treatment group was higher than that of open surgery group during the half-year follow-up（P<0.05）； Compared with the non-surgical treatment group， the satisfaction degree of diagnosis and treatment in the open surgery group was higher（P<0.05）. Conclusion：For the patient with symptoms of suspected acute appendicitis， through further imaging examinations can more accurately grasp the patient’s condition， open surgery has a more direct effect on the disease than non-surgical treatment.

【Key？Words】Acute appendicitis； Imaging diagnosis； Diagnosis and treatment satisfaction

急性阑尾炎突然发作的特点往往让患者措手不及，无法准确地描述自己起病原因，诊疗工作的及时性与有效性往往关系到患者的预后[1-2]。在症状表现方面，急性阑尾炎与其他类型的急腹症存在一定相似性，同时急性阑尾炎自身也存在多种分型，因此，在开展治疗工作前需要对患者的病情做详细的分析，影像学技术在其中贡献突出[3-4]。急性阑尾炎一经确诊，需要及时地落实救治工作，手术切除阑尾是临床公认治疗该疾病最直接有效的方案，能够避免阑尾化脓问题发生或者出现胃肠穿孔、坏疽等问题[5]。本文指出综合患者症状表现和影像学检查结果能够对患者病情做出准确的判断，而通过开腹手术将病灶完整的切除后，恢复效果佳，报道如下。……