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目的就回盲部肿瘤并发生急性阑尾炎20例进行分析。方法选取2009年11月至2013年11月收治的20例回盲部肿瘤并存急性阑尾炎患者,手术过程中发现有16例患者由于并存阑尾炎故行右半结肠一期切除术,另外4例患者均为首次行手术切除阑尾,在手术后出现不同程度的黑便、血便、消瘦、腹痛等症状,在行电子结肠镜、钡灌肠或B超检查后再次手术。结果本组20例患者全部为回盲部结肠腺癌,有15例患者被诊断为阑尾炎,有1例患者术后出现阑尾残端炎:1例自动出院,3例好转,16例治愈。结论为了避免由于回盲部肿瘤并存急性阑尾炎而出现漏诊、误诊情况,应在术前对中老年阑尾炎患者进行详细、细致的全面检查,术中对患者的病情进行仔细探查,术后对患者后期状态进行随访。
Objective To analyze 20 cases of ileocecal tumor and acute appendicitis. Methods Twenty patients with ileocecal tumor coexisting with acute appendicitis from November 2009 to November 2013 were enrolled. During the operation, 16 patients had undergone primary resection of the right colon due to coexisting appendicitis. The other 4 patients were all involved. For the first time to remove the appendix, there are different degrees of black stools, bloody stools, weight loss, abdominal pain and other symptoms after surgery. The operation is performed after an electronic colonoscope, barium enema, or B-ultrasound. Results In this group, 20 patients were all with ileocecal adenocarcinoma of the colon, 15 patients were diagnosed as appendicitis, and 1 patient had postoperative stump stump inflammation: 1 patient was automatically discharged, 3 patients improved, and 16 patients were cured. Conclusion In order to avoid missed diagnosis and misdiagnosis due to ileocecal tumors coexisting acute appendicitis, a detailed and detailed comprehensive examination should be conducted before surgery in patients with appendicitis in the middle and old ages. The condition of the patients should be carefully explored during the operation. The status is followed up.