目的:对小儿阑尾脓肿的诊断和治疗进行讨论。方法:回顾分析小儿阑尾脓肿75例,保守治疗32例,手术43 例。结果:本组全部治愈。保守组住院平均天数17天,其中日后行阑尾切除6例,手术组术后恢复顺利。结论:保守治疗脓肿吸收慢,治疗时间长,有潜在复发可能,只要掌握手术适应症,应尽早手术。 Objective: To discuss the diagnosis and treatment of appendiceal abscess in children. Methods: A retrospective analysis of 75 children with appendiceal abscess, conservative treatment in 32 cases, 43 cases of surgery. Results: All patients in this group were cured. Conservative group average number of days of hospitalization 17 days, including the appendectomy in 6 cases after surgery, the operation group recovered smoothly. CONCLUSIONS: Conservative treatment of abscess absorbs slowly and has a long treatment time and potential recurrence. As long as surgical indications are mastered, surgery should be started as soon as possible.