objective: to summarize and periappendicural abscess appendicitis surgical treatment experience, looking for the right treatment. Methods: 48 cases treated and periappendicural abscess appendicitis patients, including 30 cases of male, female 10 cases; Age 19-65, the average duration of 6-17 d. Adopt continuous epidural anesthesia; Course of the disease within a week McIntosh incision, and the rest right next to the rectus incision. Local rinse with salt water, metronidazole injection after placement of drainage, no postoperative infection, support treatment.