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实施阑尾切除术时,由于阑尾系膜过短并有明显炎症水肿,致使手术医生处理阑尾系膜非常棘手。若处理不当,可造成腹腔内出血,肠系膜内及腹膜后血肿等并发症,须二次手术。我们将阑尾浆膜层同系膜一起结扎。此法易于操作,增强了手术的可靠性,避免了术后并发症。1 临床资料1998年以来,我们对7例阑尾炎病人在术中实行浆膜与系膜一起结扎的办法。7例病员皆为本部官兵,男性。其中急性化脓性阑尾炎2例,急性坏疽性阑尾炎3例,慢性阑尾炎急性发作2例,发病时间3 h～5 d。均行硬膜外阻滞麻醉。术后给予消炎、补液等对症治疗。术后生命体征平稳,未诉不适,切口甲级愈合,住院7～10 d,痊愈出院。
The implementation of appendectomy, the appendix as mesangial is too short and there is a clear inflammatory edema, causing the surgeon to deal with appendix mesangial is very tricky. If handled properly, can cause intra-abdominal bleeding, mesenteric and retroperitoneal hematoma and other complications, to be the second surgery. We will appendix serosa with mesangial ligation. This method is easy to operate, enhance the reliability of surgery, to avoid postoperative complications. 1 Clinical data Since 1998, we carried out in 7 cases of appendicitis during surgery serosa and mesangial ligation approach. 7 patients were officers and men of the department, men. Including acute suppurative appendicitis in 2 cases, acute gangrenous appendicitis in 3 cases, 2 cases of acute exacerbation of chronic appendicitis, the onset time of 3 h ~ 5 d. Epidural anesthesia were performed. Postoperative anti-inflammatory, rehydration and other symptomatic treatment. Postoperative vital signs were stable, no complaints of discomfort, incision grade healed, hospitalized 7 to 10 days, discharged.