Izbicki J R, Wilker D K, Mandelkow H K, Müller K, Siebeck M, Geissler K, Schweiberer L
Chirurgische Klinik und Poliklinik, Universität München.
Chirurg. 1990 Dec;61(12):887-93; discussion 893-4.
In a retrospective study 536 appendicectomized patients were analyzed, in order to identify anamnestic, clinical and laboratory findings which allow the differentiation between acute and non-acute appendicitis. 150 consecutive patients were studied prospectively, which were referred to our department with a presumptive diagnosis of acute appendicitis. Eight single criteria were found, which exhibited a significantly different frequency in acute and non-acute appendicitis. Each criterion showed a low sensitivity and specificity; a score, which was created by combination of these single criteria also had low sensitivity and specificity. We conclude that the correct indication for appendicectomy highly depends on clinical experience of the surgeon.
在一项回顾性研究中，对536例接受阑尾切除术的患者进行了分析，以确定有助于区分急性阑尾炎和非急性阑尾炎的既往史、临床及实验室检查结果。对150例连续的患者进行了前瞻性研究，这些患者因疑似急性阑尾炎被转诊至我科。发现了8项单一标准，其在急性阑尾炎和非急性阑尾炎中的出现频率有显著差异。每项标准的敏感性和特异性都较低；由这些单一标准组合而成的评分，其敏感性和特异性也较低。我们得出结论，阑尾切除术的正确指征高度依赖于外科医生的临床经验。
