Thomas J O
Department of Pathology, University College Hospital, Ibadan, Nigeria.
Cent Afr J Med. 1998 Jul;44(7):176-8.
To compare the clinical diagnosis with the histopathological diagnosis; to highlight associated histological lesions and; to determine whether these provide additional useful information for management.
Case series.
Pathology Department of the King Fahd Specialist Hospital in Buraidah, Saudi Arabia.
370 appendicectomy specimen reviewed within a 12 month period.
Diagnostic accuracy of a clinical diagnosis of acute or chronic appendicitis.
Acute appendicitis was found to be most common between ages 10 to 29 years (74.0%). The diagnostic accuracy was 81%. A higher rate of appendices without histological sign of inflammation was found in females. Incidental appendicectomy was commonly associated with cholecystectomy. Unsuspected but treatable parasitic and protozoal infections were detected in 3% of appendices.
Routine examination of all appendicectomy specimens cannot be overemphasized, as unsuspected but treatable parasitic on protozoal infections may be detected.
比较临床诊断与组织病理学诊断；突出相关的组织学病变；并确定这些病变是否为治疗提供额外的有用信息。
病例系列研究。
沙特阿拉伯布赖代法赫德国王专科医院病理科。
在12个月期间内对370份阑尾切除标本进行回顾性研究。
急性或慢性阑尾炎临床诊断的准确性。
发现急性阑尾炎在10至29岁人群中最为常见（74.0%）。诊断准确率为81%。女性中无组织学炎症迹象的阑尾比例较高。意外阑尾切除术通常与胆囊切除术相关。在3%的阑尾中检测到未被怀疑但可治疗的寄生虫和原生动物感染。
必须高度重视对所有阑尾切除标本进行常规检查，因为可能会检测到未被怀疑但可治疗的寄生虫或原生动物感染。
