Levin L A, Peshekhonov S I
Vestn Khir Im I I Grek. 2005;164(5):84-7.
Results of videolaparoscopy for suspected acute appendicitis are analyzed in 2165 patients (729 men and 1373 women) aged from 15 through 92 years. The diagnosis of acute appendicitis was excluded in 23.6% of men and 54.5% of women. Disagreement between the clinical and laparoscopic diagnoses took place more often in women aged younger than 20 and older than 70, and in men - younger than 20 and older than 50. Other diseases were found resembling acute appendicitis which required urgent operative treatment in half of the cases. In 88.7% of the observations the laparoscopic method was used. Laparoscopy resulted in sharply decreased number of appendectomies in patients with catarrhal (0.3%) and secondary (0.3%) appendicitis. The sensitivity of the videolaparoscopic method of diagnosing acute appendicitis was 98.7%, specificity - 91.1%, exactness - 95.9%.
对2165例年龄在15岁至92岁之间的疑似急性阑尾炎患者（729名男性和1373名女性）进行了视频腹腔镜检查结果分析。23.6%的男性和54.5%的女性排除了急性阑尾炎诊断。临床诊断与腹腔镜诊断之间的不一致在20岁以下和70岁以上的女性以及20岁以下和50岁以上的男性中更为常见。发现有其他疾病类似急性阑尾炎，其中半数病例需要紧急手术治疗。在88.7%的观察中使用了腹腔镜方法。腹腔镜检查使卡他性（0.3%）和继发性（0.3%）阑尾炎患者的阑尾切除术数量大幅减少。视频腹腔镜诊断急性阑尾炎的敏感性为98.7%，特异性为91.1%，准确性为95.9%。
