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本文自南京市第一医院1960～1977年切除的14,300阑尾中,选出阑尾粘液囊肿18例报告。年令最小20岁,最大59岁,平均46.7岁,皆为手术时偶然发现。本组2例恶性,分别于术后6月及17月死于本病。其余16例为良性,除2例失访、3例不足半年外,其余11例皆于术后1～17年健在。本病术前诊断困难,若在局部X光片上发现钙化,当考虑本病。本病治疗,如无阑尾穿破,别仔细切除阑尾,避免破裂;如阑尾穿破,则尽量清除粘液,用生理盐水冲净;如已发生腹膜假粘液瘤,则除清除后者及阑尾外,行术后放射治疗;对于病理诊断为恶性者,行右半结肠切除。本病一般应视为低度恶性,转移相当少见,可到腋下淋巴结、胸壁、肺等。
In this paper, 18 cases of appendicular mucinous cysts were selected from the 14,300 appendix removed from 1960 to 1977 in Nanjing First Hospital. The minimum age of 20 years old, the maximum of 59 years old, average 46.7 years old, were accidentally discovered during surgery. Two patients in this group were malignant and died of the disease at 6 months and 17 months after surgery. The remaining 16 cases were benign, except for 2 cases lost to follow-up and 3 cases less than half a year. The remaining 11 cases were all 1 to 17 years after surgery. The preoperative diagnosis of this disease is difficult. If calcification is found on the local radiograph, consider the disease. The treatment of the disease, if no appendix is worn, do not carefully remove the appendix to avoid rupture; if the appendix is worn, try to remove the mucus, rinse with saline; if peritoneal pseudomyxoma occurs, then remove the latter and the appendix Postoperative radiotherapy; For pathological diagnosis of malignant, right colon resection. The disease should generally be regarded as low-grade, and metastases are rare and can be found in the axillary lymph nodes, chest wall, and lungs.