Zielke A
Klinik für Visceral-, Thorax- und Gefässchirurgie, Philipps Universität Marburg, Baldinger Strasse, Postfach 100, 35043 Marburg.
Chirurg. 2002 Aug;73(8):782-90. doi: 10.1007/s00104-002-0501-x.
At times, making the diagnosis of acute appendicitis may pose a considerable problem. However, prompt and accurate diagnosis is essential to obtain minimal morbidity. Diagnostic mistakes result either in delayed initiation of adequate therapy or unnecessary operations. During the past years, a number of new strategies and diagnostic procedures have been developed and refined, including structured patient interview pathways, scoring systems, ultrasound, computed tomography, and diagnostic laparoscopy. This review summarizes the diagnostic performance of these modalities and discusses their clinical impact. It is apparent that in everyday practice, none of the technical modalities can replace the skill and precision of surgical exploration.
有时，做出急性阑尾炎的诊断可能会带来相当大的问题。然而，迅速而准确的诊断对于将发病率降至最低至关重要。诊断失误要么导致适当治疗的延迟开始，要么导致不必要的手术。在过去几年中，已经开发并完善了许多新的策略和诊断程序，包括结构化的患者访谈途径、评分系统、超声、计算机断层扫描和诊断性腹腔镜检查。本综述总结了这些方法的诊断性能，并讨论了它们的临床影响。显然，在日常实践中，没有一种技术方法能够取代手术探查的技巧和精确性。
