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目的 评价小儿阑尾脓肿穿刺治疗的效果。方法 采用B超引导下穿刺抽脓治疗小儿阑尾脓肿 1 81例 ,同期行保守治疗 2 3例。结果 经穿刺抽脓治疗者较保守治疗者腹痛消失时间缩短 5 5d ,退烧时间缩短 5d ,腹部压痛消失时间缩短 6d ,住院时间缩短 6d ,住院费用减少 2 356元。穿刺治疗组未出现脓肿破溃 ,保守治疗组发生脓肿破溃 2例 ,其中死亡 1例。结论 B超引导下穿刺抽脓治疗小儿阑尾脓肿有见效快、安全、经济和创伤小的优点。当阑尾脓肿 >1cm× 2cm时即可行穿刺抽脓治疗。
Objective To evaluate the effect of pediatric appendix abscess puncture. Methods One hundred and eighty children with appendectomy were treated with B-ultrasound guided puncture and pus. Conservative treatment was performed in the same period. Results Compared with the conservative treatment group, the disappearance of abdominal pain was reduced by 5 5 days, the fever relief time was 5 days, the disappearance of abdominal tenderness was reduced by 6 days, the hospitalization time was shortened by 6 days, and the hospitalization cost was reduced by 2 356 yuan. Puncture treatment group did not appear abscess ulceration, conservative treatment group occurred abscess rupture in 2 cases, of which 1 died. Conclusion B-guided puncture abscess treatment of children with appendiceal abscess quick, safe, economical and less invasive advantages. When the appendix abscess> 1cm × 2cm puncture pus feasible.