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我们收治慢性阑尾炎患儿16例,现对其病因分析如下。 资料与方法:本组男9例,女7例;年龄5~13岁;病程3个月至5年。阑尾炎发作3次6例,4~5次5例,无典型发作史而仅有右下腹反复疼痛或隐痛2例,阑尾脓肿形成引流术后2例,右下腹疼痛引起肠梗阻术中发现阑尾病变1例。X线钡餐透视检查示阑尾充盈不完全、阑尾不充盈、阑尾充盈完全但蠕动差各2例。术中见阑尾系膜短而阑尾细长扭曲(10cm以上,最长20cm)6例,阑尾腔内异物(西瓜子、山楂核)2例,节段性阑尾、阑尾腔内蛔虫体梗阻及阑尾腔内蛲虫梗阻各1例,阑尾自然切割及残缺2例,阑尾重复畸形(球状)1例。2例于术后第5
We treated children with chronic appendicitis in 16 cases, the cause of the analysis is as follows. Materials and Methods: The group of 9 males and 7 females; aged 5 to 13 years; duration of 3 months to 5 years. Appendicitis in 3 episodes 6 cases, 4 to 5 times in 5 cases, without typical episodes of history and only the right lower quadrant pain or dull pain in 2 cases, appendix abscess formation after drainage in 2 cases, right lower quadrant pain caused by intestinal obstruction found appendix lesions 1 case. X-ray barium meal examination showed incomplete appendix filling, appendix is not full, filling the appendectomy but the peristalsis difference in 2 cases. Surgery, see the appendix mesangial short appendix slender (10cm above, the longest 20cm) in 6 cases, appendix intracavitary foreign body (watermelon seeds, hawthorn nucleus) in 2 cases, segmental appendix, appendix lumen obstruction and appendix Cavity obstruction in 1 case, appendectomy and incomplete 2 cases, 1 case of appendix repeat deformity (spherical). 2 cases after the 5th