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阑尾的盲肠后位是否会改变急性阑尾炎的临床病程?一项前瞻性分析。

Does the retrocecal position of the vermiform appendix alter the clinical course of acute appendicitis? A prospective analysis.

作者信息

Shen G K, Wong R, Daller J, Melcer S, Tsen A, Awtrey S, Rappaport W

机构信息

Department of Surgery, University of Arizona Medical Center, Tucson 85724.

出版信息

Arch Surg. 1991 May;126(5):569-70. doi: 10.1001/archsurg.1991.01410290041008.

DOI:10.1001/archsurg.1991.01410290041008
PMID:2021337
Abstract

Ninety-four adult patients undergoing appendectomy for acute appendicitis were prospectively studied during a 2-year period. Patients were divided into retrocecal (group 1; n = 27 [29%]) and anterior (group 2; n = 67 [71%]) groups according to the position of the appendix. There was no statistical difference between the two groups in duration of symptoms, presenting signs and symptoms, and initial white blood cell count. Furthermore, retrocecal appendicitis was not associated with a higher rate of perforation or increased morbidity. We conclude that the retrocecal position of the appendix does not alter the presentation of appendicitis.

摘要

在两年期间,对94例因急性阑尾炎接受阑尾切除术的成年患者进行了前瞻性研究。根据阑尾位置,将患者分为盲肠后位组(第1组;n = 27 [29%])和前位组(第2组;n = 67 [71%])。两组在症状持续时间、表现出的体征和症状以及初始白细胞计数方面无统计学差异。此外,盲肠后位阑尾炎与较高的穿孔率或发病率增加无关。我们得出结论,阑尾的盲肠后位并不改变阑尾炎的表现。

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