Mwachaka Philip, El-Busaidy Hemed, Sinkeet Simeon, Ogeng'o Julius
Department of Human Anatomy, University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya.
ISRN Anat. 2014 Apr 30;2014:871048. doi: 10.1155/2014/871048. eCollection 2014.
Background. Topography of the appendix influences its mobility, degree of mobilization of the cecum, and need for additional muscle splitting during appendectomy. Although appendectomy is a common surgical procedure, there is a paucity of data on its topography in black Africans. Methods. The position and length of the appendix and relation of the appendicular base with spinoumbilical line were determined in 48 cadavers obtained from the Department of Human Anatomy, University of Nairobi, Kenya. Results. The commonest appendicular types in males were retrocecal 10 (27%) while in females was subileal 4 (36.4%). The average length of the appendix was 76.5 ± 23.6 mm. The base of the appendix was located along, below, and above the spinoumbilical line in 25 (52.1%), 9 (18.8%), and 14 (29.2%) cases, respectively. Conclusion. The topography of appendix in Kenyans shows variations from other populations. Knowledge of these variations is important during appendicectomy.
背景。阑尾的位置影响其活动度、盲肠的游离程度以及阑尾切除术中是否需要额外的肌肉劈开。尽管阑尾切除术是一种常见的外科手术，但关于非洲黑人阑尾位置的数据却很少。方法。在内罗毕大学人体解剖学系获取的48具尸体上，确定阑尾的位置、长度以及阑尾根部与脐棘线的关系。结果。男性最常见的阑尾类型是盲肠后位，有10例（27%）；女性最常见的阑尾类型是回肠下位，有4例（36.4%）。阑尾的平均长度为76.5±23.6毫米。阑尾根部位于脐棘线上、下及上方的病例分别为25例（52.1%）、9例（18.8%）和14例（29.2%）。结论。肯尼亚人的阑尾位置与其他人群存在差异。了解这些差异在阑尾切除术中很重要。
