摘要：目的：探讨小切口微创阑尾切除术的病例选择及意义。方法：收集300例术前诊断阑尾炎的病史及体征，术前拟定病例选择指征，预测阑尾解剖、病理情况及手术难易程度；符合选择指征的88例，施行小切口阑尾切除术；术前预测与手术中相符合程度进行动态观察。结果：术前符合预先所拟定条件者88例，手术证实此88例完全适合小切口手术。完全不符合预先所拟定条件者78例，手术证实此78例难以在小切口条件下完成手术。结论：实施小切口阑尾切除术应选择诊断明确、阑尾易于分类显露及腹腔感染不重的病例。这样可最大限度地降低手术风险，使病人能获得更多益处。

    关键词：阑尾切除术；小切口；病例选择

    Selective Cases of Appendectomy via Small Incision and Clinical Significance

    LIU Dao-sheng,HU Shu-fang

    (Zunyi Hospital, Guizhou Zunyi 563000, China)

    Abstract: Objective： To evaluate the selective cases of appendectomy via small incision. Method： Three hundred of patients with appendectomy were analysed. Results: There were 88 patients (29.3%) in keeping with the conditions of appendectomy via small incision.The conditions are as follows: ①Typical history and examination. ②The course of disease within 24 hours. ③Excepting differential common diseases. ④The abdominal signs are local in right lower area. ⑤The body are not fat. Subcutaneous fat<5cm. Conclusion： Performed appendectomy via small incision maybe decrease the risk of operation ,by which patients cure as well as possible. ......