慢性炎症性阑尾炎的急性发作是由粪淤滞和/或粪石引发的吗？
Are acute exacerbations of chronic inflammatory appendicitis triggered by coprostasis and/or coproliths?
作者信息
Sgourakis George, Sotiropoulos Georgios C, Molmenti Ernesto P, Eibl Charis, Bonticous Stylianous, Moege Jurgen, Berchtold Christoph
机构信息
Department of General, Visceral, and Transplantation Surgery, Essen 45122, Germany.
出版信息
World J Gastroenterol. 2008 May 28;14(20):3179-82. doi: 10.3748/wjg.14.3179.
AIM
To examine the role of coprostasis and coproliths in recurrent appendicitis.
METHODS
We evaluated four hundred and twenty seven consecutive pathology reports of all appendectomy specimens from January 2003 to December 2004. Findings were categorised as showing acute appendicitis, acute recurrent appendicitis, subacute recurrent appendicitis, chronic appendicitis, or appendices without inflammation. All patients had presented with acute right lower quadrant pain. In 94 instances, there was a history of recurrent similar episodes in the past.
RESULTS
Of the 427 histology reports, 294 were inter-preted as showing acute appendicitis, 56 acute recurrent appendicitis, 34 subacute recurrent appen-dicitis, 28 chronic appendicitis, and 15 non-inflamed appendices. Coprostasis was observed in 58 patients (13.58%) and the presence of coprolith in 6 (1.4%). Coprostasis, and age, were among the predictors in the final model.
CONCLUSION
Coprostasis but not coproliths seems to be a contributing factor to acute exacerbations of chronic inflammatory appendicitis.
目的
探讨粪淤滞及粪石在复发性阑尾炎中的作用。
方法
我们评估了2003年1月至2004年12月期间所有阑尾切除术标本的427份连续病理报告。结果分为急性阑尾炎、急性复发性阑尾炎、亚急性复发性阑尾炎、慢性阑尾炎或无炎症的阑尾。所有患者均表现为急性右下腹痛。其中94例患者既往有类似发作史。
结果
在427份组织学报告中，294份被解释为急性阑尾炎，56份为急性复发性阑尾炎，34份为亚急性复发性阑尾炎，28份为慢性阑尾炎，15份为无炎症阑尾。58例患者（13.58%）观察到粪淤滞，6例（1.4%）存在粪石。粪淤滞和年龄是最终模型中的预测因素。
结论
粪淤滞而非粪石似乎是慢性炎症性阑尾炎急性加重的一个促成因素。
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