Fourth Department of Surgery, Athens University, Medical School, ATTIKON University Hospital, Athens, Greece.
Eur J Gastroenterol Hepatol. 2011 Feb;23(2):121-7. doi: 10.1097/MEG.0b013e32834233b6.
For more than a century, emergency appendectomy has been a 'surgical dogma' in the management of acute appendicitis (AA). During recent decades, however, there is an increasing body of evidence suggesting that selected patients with AA could be treated conservatively. This approach has many advantages, including high success and low recurrence rates, reduced morbidity and mortality, less pain, shorter hospitalization and sick leave, and reduced costs. Despite that conservative management of AA cannot be used for all patients with AA (for example, in the presence of peritonitis), it could be preferred in a large percentage of patients with mild infection (as evidenced by clinical, laboratory, and imaging findings).
一个多世纪以来，在急性阑尾炎（AA）的治疗中，急诊阑尾切除术一直是一种“外科教条”。然而，近几十年来，越来越多的证据表明，一些特定的 AA 患者可以采用保守治疗。这种方法有很多优点，包括高成功率和低复发率、降低发病率和死亡率、减少疼痛、缩短住院和病假时间以及降低成本。尽管 AA 的保守治疗不能用于所有 AA 患者（例如，在腹膜炎的情况下），但它可以在很大一部分感染较轻的患者中优先采用（临床、实验室和影像学检查结果均有证据表明）。
