Mason L B, Deyden W E
Am Surg. 1976 Apr;42(4):239-43.
A review of 403 patients undergoing appendectomy in a community hospital led to the following conclusions. Appendectomy with the finding of a normal appendix and no other condition requiring operation was accompanied by a higher complication rate and longer hospitalization than appendectomy for nonperforated diseased appendix. A high frequency of removal of normal appendices did not result in a lower incidence of appendiceal perforation. An increased diagnostic accuracy in the surgical treatment of "acute appendicitis" was not associated with increased incidence of appendiceal perforation. These findings support the thesis that a more discriminate diagnosis of acute appendicitis will lower the incidence of unnecessary appendectomy without increasing the morbidity from unrecognized appendiceal disease.
对一家社区医院403例行阑尾切除术的患者进行回顾后得出以下结论。阑尾切除术中发现阑尾正常且无其他需要手术的情况，其并发症发生率更高，住院时间更长，这比为未穿孔的病变阑尾进行阑尾切除术的情况更甚。切除正常阑尾的高频率并未导致阑尾穿孔发生率降低。“急性阑尾炎”手术治疗中诊断准确性的提高与阑尾穿孔发生率的增加无关。这些发现支持了这样一种观点，即对急性阑尾炎进行更具鉴别性的诊断将降低不必要阑尾切除术的发生率，而不会增加未被识别的阑尾疾病的发病率。
