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目的 探讨回盲部肿瘤并阑尾周围脓肿的临床特点和外科治疗。方法 回顾性分析我院1992~ 2004年3例回盲部肿瘤并阑尾周围脓肿的临床资料。结果 1例回盲部肿瘤并阑尾周围脓肿行脓肿切开引流,术 后出现肠瘘,后转外院行右半结肠癌根治术;2例行中西医结合治疗后,行右半结肠癌根治术。结论 回盲部肿瘤 并阑尾周围脓肿缺乏特异表现,误诊率极高,B超、CT、结肠纤维镜及钡剂灌肠有助于诊断,但仍强调手术为主的治 疗方法。
Objective To investigate the clinical features and surgical treatment of the ileocecal tumor with abscess around the appendix. Methods The clinical data of 3 patients with ileocecal tumor and peri-abscess in our hospital from 1992 to 2004 were analyzed retrospectively. Results 1 case of ileocecal tumor and abscess around the appendix abscess incision and drainage, postoperative intestinal fistula, after the transfer to the right colon cancer surgery; 2 cases of Integrative Medicine, the right colon resection . Conclusion The ileocecal tumor and appendix abscess lacks specific performance, and the rate of misdiagnosis is very high. Ultrasonography, computed tomography, colonoscopy and barium enema are helpful for the diagnosis. However, surgical treatment is still emphasized.