阑尾肿块的处理
Management of appendiceal mass.
作者信息
Garba E S, Ahmed A
机构信息
Division of General Surgery, Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria.
出版信息
Ann Afr Med. 2008 Dec;7(4):200-4. doi: 10.4103/1596-3519.55652.
BACKGROUND
The management of appendiceal mass is surrounded with controversy. Traditional management has been conservative, with interval appendicectomy performed weeks after the mass had resolved. This remains the most common approach at many centers in the world. Recently, an increasing number of studies have challenged this approach. This article reviews some of the controversial issues in the management of appendix mass, assesses current practice and suggests an appropriate approach for the management of appendix mass.
METHODS
A Medline, Pubmed and Cochrane database search were used to find such key words and combinations of: appendix, appendiceal, appendicular, interval, appendectomy, appendicectomy, mass, abscess, phlegmon, and appendicitis. Results were saved and managed by Reference manager 11. All articles were cross-referenced by the authors.
RESULTS
A conservative management is still a highly acceptable approach for appendix mass. This should be followed with interval appendicectomy especially in patients with persistent right iliac fossa pain.
CONCLUSION
We recommend initially conservative approach to the management of appendiceal mass especially in our environment.
背景
阑尾肿块的处理存在争议。传统的处理方法较为保守，在肿块消退数周后进行间隔期阑尾切除术。这仍是世界上许多中心最常用的方法。最近，越来越多的研究对这种方法提出了挑战。本文回顾了阑尾肿块处理中的一些争议问题，评估了当前的实践情况，并提出了阑尾肿块处理的合适方法。
方法
使用Medline、Pubmed和Cochrane数据库进行检索，以查找以下关键词及组合：阑尾、阑尾的、阑尾性的、间隔期、阑尾切除术、间隔期阑尾切除术、肿块、脓肿、蜂窝织炎、阑尾炎。检索结果由Reference manager 11保存和管理。所有文章均由作者进行交叉引用。
结果
保守治疗仍是阑尾肿块高度可接受的方法。尤其是对于持续存在右下腹疼痛的患者，应随后进行间隔期阑尾切除术。
结论
我们建议对阑尾肿块最初采用保守治疗方法，特别是在我们所处的环境中。
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