Yuk Jin-Sung, Kim Yong Jin, Hur Jun-Young, Shin Jung-Ho
Department of Obstetrics and Gynecology, Miz Medi Hospital, Seoul, Korea.
J Korean Surg Soc. 2013 Aug;85(2):75-9. doi: 10.4174/jkss.2013.85.2.75. Epub 2013 Jul 25.
To estimate the prevalence of acute appendicitis and the relationship between pregnancy and acute appendicitis among South Korean women in 2009.
This was a cross-sectional study over 1 year period using a national registry data. We analyzed a national patient sample (n = 1,116,040) from a database complied by the South Korean National Health Insurance in 2009.
We identified 15,974 cases of acute appendicitis from 2009. The prevalence rate of acute appendicitis was 228 ± 2 per 100,000 persons. The prevalence in men was higher than in women. The peak prevalence of the disease in both genders occurred in patients aged 10 to 14 years. After that, prevalence declined with age. The prevalence of acute appendicitis in women aged 20 to 39 years was negatively associated with age and pregnancy (P < 0.001) but was not associated with socioeconomic status. The prevalence of perforated appendicitis cases by age is represented by a U-shaped curve. The prevalence was highest in people less than five years of age and in people older than 60 years.
We found that the prevalence of acute appendicitis decreased with increasing age after early teens, and that the prevalence of acute appendicitis in pregnant women was lower than in nonpregnant women.
评估2009年韩国女性急性阑尾炎的患病率以及妊娠与急性阑尾炎之间的关系。
这是一项为期1年的横断面研究，使用国家登记数据。我们分析了2009年韩国国民健康保险数据库中的全国患者样本（n = 1,116,040）。
我们在2009年识别出15,974例急性阑尾炎病例。急性阑尾炎的患病率为每10万人228±2例。男性患病率高于女性。该疾病在两性中的患病率高峰出现在10至14岁的患者中。此后，患病率随年龄下降。20至39岁女性的急性阑尾炎患病率与年龄和妊娠呈负相关（P < 0.001），但与社会经济地位无关。穿孔性阑尾炎病例的患病率按年龄呈U形曲线。患病率在5岁以下人群和60岁以上人群中最高。
我们发现，青少年早期之后，急性阑尾炎的患病率随年龄增长而下降，且孕妇急性阑尾炎的患病率低于非孕妇。
