Oliak D, Yamini D, Udani V M, Lewis R J, Vargas H, Arnell T, Stamos M J
Department of Surgery, Harbor-UCLA Medical Center, Torrance, California 90509, USA.
Am J Surg. 2000 Mar;179(3):177-81. doi: 10.1016/s0002-9610(00)00299-3.
Initial nonoperative treatment for patients with periappendiceal mass has been shown to be safe and effective. Our goal was to evaluate the safety and efficacy of initial nonoperative management for perforated appendicitis not accompanied by a palpable mass.
The study population consisted of 77 patients with appendicitis treated initially nonoperatively between 1992 and 1998. All had localized abdominal tenderness and computed tomography findings of abscess or phlegmon. None had a palpable abdominal mass. Outcome parameters evaluated were rate of failure, complication, and recurrence.
There were 49 males and 28 females with a mean age of 35 years (range 16 to 75). Initial nonoperative management was successful in 95% of patients. Complications occurred in 12% of patients. Recurrent appendicitis developed in 6.5% of patients after an average follow-up of 30 weeks.
Perforated appendicitis patients with localized abdominal tenderness and abscess or phlegmon can safely and effectively be treated in an initial nonoperative fashion.
已证明对阑尾周围肿块患者进行初始非手术治疗是安全有效的。我们的目标是评估对无明显肿块的穿孔性阑尾炎进行初始非手术治疗的安全性和有效性。
研究人群包括1992年至1998年间最初接受非手术治疗的77例阑尾炎患者。所有患者均有局限性腹部压痛，计算机断层扫描显示有脓肿或蜂窝织炎。均无明显腹部肿块。评估的结果参数包括失败率、并发症发生率和复发率。
有49例男性和28例女性，平均年龄35岁（范围16至75岁）。95%的患者初始非手术治疗成功。12%的患者出现并发症。平均随访30周后，6.5%的患者发生复发性阑尾炎。
有局限性腹部压痛且伴有脓肿或蜂窝织炎的穿孔性阑尾炎患者，可通过初始非手术方式进行安全有效的治疗。
