阑尾内翻切除术在儿童腹部外科手术中的运用_West China Medical Journal

Authors：

杨周健 , 王奕 ,  徐畅 , 钟麟

Corresponding author：

徐畅, Email: yniver@yeah.net

Keywords：

儿童; 阑尾; 内翻切除术; 应用

Video：

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目的　探讨阑尾内翻切除术在小儿外科手术中的运用。方法　回顾2009年5月－2011年5月小儿外科收治的89例采用内翻法行阑尾切除术患儿的一般资料、手术方法和术后恢复情况。结果　所有患儿因肠套叠、嵌顿疝或肠旋转不良而入院行手术治疗，术中除处理原发疾病外均行内翻切除阑尾，术后未使用抗生素，均未发生腹腔及伤口感染，术后无并发症，恢复良好出院。76例（85.4%）患儿获得随访，随访时间2个月～3年，平均1.5年。随访期间未发生任何并发症。结论　部分小儿腹部手术需附加阑尾切除术时可采用阑尾内翻切除法。此术式具有耗时短、操作简便易行、避免盆腹腔污染、减少抗生素使用等优点。

Citation： 杨周健,王奕,徐畅,钟麟. 阑尾内翻切除术在儿童腹部外科手术中的运用. West China Medical Journal, 2012, 27(5): 729-730. doi: Copy

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2.	Almasad JK, Daoud FS. Long-term outcome of simple inversion of the appendix as an alternative to incidental appendectomy[J]. Ann Saudi Med, 2008, 28(3): 179-182.
3.	黄庆荣，吴江，陈明.小儿腹部手术中行阑尾内翻切除术[J].广东医学院学报，2000, 18(2): 197.
4.	Albright JB, Fakhre GP, NieldsWW, et al. Incidental appendectomy: 18-year pathologic survey and cost effectiveness in the nonmanaged-care setting[J]. J Am Coll Surg, 2007, 205(2): 298-306.
5.	Warren JL, Penberthy LT, Addiss DG, et al. Appendectomy incidental to cholecystectomy among elderly Medicare beneficiaries[J]. Surg Gynecol Obstet, 1993, 177(3): 288-294.
6.	Aslanabadi S, Ghalehgolab-Behbahan A, Jamshidi M, et al. Intestinal malrotations: a review and report of thirty cases[J]. Folia Morphol, 2007, 66(4): 277-282.
7.	Cankorkmaz L, Ozer H, Guney C, et al. Amyand’s hernia in the children: a single center experience[J]. Surgery, 2010, 147(1): 140-143.
8.	Jacobs PP, Koeyers GF, Bruyninckx CM. Simple ligation superior to inversion of the appendiceal stump; a prospective randomized study[J]. Ned Tijdschr Geneeskd, 1992, 136(21): 1020-1023.
9.	Song JY, Edgardo Y, Carlos R. Incidental appendectomy during endoscopic surgery[J]. JSLS，2009，13(3): 376-383.
10.	McCarville MB, Ross MB, Rao BN, et al. Sonographic appearance of appendicitis in a neutropenic pediatric patient after inversion appendectomy[J]. Pediatr Radiol, 2001, 31(8)：578-580.
11.	Hoeher JC, Kimura K, Soper RT. Intussusception as a complication of inversion appendectomy[J]. Pediatr Surg Int, 2011， 10(1): 51-53.
12.	Offodile A 2nd, Hodgin JB, Arnell T. Asymptomatic intussusception of the appendix secondary to endometriosis[J]. Am Surg, 2007, 73(3): 299-301.

1. 　Voeller GR, Fabian TC. Inversion-ligation appendectomy for incidental appendectomy[J]. Am J Surg, 1991, 161(4): 483-484.
2. 　Almasad JK, Daoud FS. Long-term outcome of simple inversion of the appendix as an alternative to incidental appendectomy[J]. Ann Saudi Med, 2008, 28(3): 179-182.
3. 　黄庆荣，吴江，陈明.小儿腹部手术中行阑尾内翻切除术[J].广东医学院学报，2000, 18(2): 197.
4. 　Albright JB, Fakhre GP, NieldsWW, et al. Incidental appendectomy: 18-year pathologic survey and cost effectiveness in the nonmanaged-care setting[J]. J Am Coll Surg, 2007, 205(2): 298-306.
5. 　Warren JL, Penberthy LT, Addiss DG, et al. Appendectomy incidental to cholecystectomy among elderly Medicare beneficiaries[J]. Surg Gynecol Obstet, 1993, 177(3): 288-294.
6. 　Aslanabadi S, Ghalehgolab-Behbahan A, Jamshidi M, et al. Intestinal malrotations: a review and report of thirty cases[J]. Folia Morphol, 2007, 66(4): 277-282.
7. 　Cankorkmaz L, Ozer H, Guney C, et al. Amyand’s hernia in the children: a single center experience[J]. Surgery, 2010, 147(1): 140-143.
8. 　Jacobs PP, Koeyers GF, Bruyninckx CM. Simple ligation superior to inversion of the appendiceal stump; a prospective randomized study[J]. Ned Tijdschr Geneeskd, 1992, 136(21): 1020-1023.
9. 　Song JY, Edgardo Y, Carlos R. Incidental appendectomy during endoscopic surgery[J]. JSLS，2009，13(3): 376-383.
10. 　McCarville MB, Ross MB, Rao BN, et al. Sonographic appearance of appendicitis in a neutropenic pediatric patient after inversion appendectomy[J]. Pediatr Radiol, 2001, 31(8)：578-580.
11. 　Hoeher JC, Kimura K, Soper RT. Intussusception as a complication of inversion appendectomy[J]. Pediatr Surg Int, 2011， 10(1): 51-53.
12. 　Offodile A 2nd, Hodgin JB, Arnell T. Asymptomatic intussusception of the appendix secondary to endometriosis[J]. Am Surg, 2007, 73(3): 299-301.

West China Medical Journal

阑尾内翻切除术在儿童腹部外科手术中的运用

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