目的观察急性阑尾炎的临床特点及手术治疗效果。方法选择本院近年来收治的急性阑尾炎患者55例,对其临床资料进行回顾性总结分析。结果本组病例痊愈率达98.2%(54/55例);1例坏疽穿孔性阑尾炎出现切口感染化脓,经引流换药痊愈,全组无腹腔内出血及残余脓肿形成,无术后肠瘘、粘连性肠梗阻及阑尾残株炎发生。随访3个月,未发生肠粘连等并发症。结论阑尾管腔的阻塞和细菌感染是急性阑尾炎的主要发病机制,本病一旦确诊,应尽早行阑尾切除术,充分的术前准备、良好的麻醉处理、完善的围手术期管理,是提高疗效、减少并发症的关键。 Objective To observe the clinical features and surgical treatment of acute appendicitis. Methods 55 cases of acute appendicitis treated in our hospital in recent years were selected and their clinical data were retrospectively analyzed. Results The cure rate of this group was 98.2% (54/55 cases). One case of perinatal perforation appendicitis was infected by incision infection and was cured by drainage dressing. The group had no intra-abdominal hemorrhage and residual abscess formation, no postoperative intestinal fistula and adhesions Intestinal obstruction and appendix residual disease occurred. Follow-up 3 months, no complications such as intestinal adhesion. Conclusion The obstruction and bacterial infection of appendix are the main pathogenesis of acute appendicitis. Once the disease is diagnosed, appendectomy should be performed as soon as possible. Adequate preoperative preparation, good anesthesia and perioperative management are the effective ways to improve the curative effect , Reduce the key to complications.