目的探讨腹部手术后并发急性阑尾炎临床特点。方法对腹部手术后伴发急性阑尾炎的病例资料进行回顾性分析。结果 2005—2010年间腹部手术后伴发急性阑尾炎11名患者中,术前根据其临床特点和B超确诊的急性阑尾炎有9例,剖腹探查确诊的有2例,均于原发病术后7～15d行阑尾切除术,术后均恢复良好,痊愈出院。结论对腹部术后出现腹痛、发热等相关阑尾炎表现的患者要有足够的重视,积极排除伴发急性阑尾炎的可能,B超对术后并发急性阑尾炎的诊断有一定的辅助作用,积极手术治疗是其安全有效的治疗方法。 Objective To investigate the clinical features of acute appendicitis after abdominal surgery. Methods The clinical data of acute appendicitis after abdominal operation were retrospectively analyzed. Results Among the 11 patients with acute appendicitis who underwent abdominal surgery between 2005 and 2010, there were 9 cases of acute appendicitis diagnosed according to their clinical features and B ultrasound before operation, 2 cases diagnosed by laparotomy, ~ 15d line appendectomy, postoperative recovery was good, discharged. Conclusion Abdominal appendicitis, fever and other appendicitis patients should pay enough attention to the active exclusion of the possibility of acute appendicitis, B-ultrasound in the diagnosis of postoperative complications of acute appendicitis have a certain role, and positive surgical treatment is Its safe and effective treatment.