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伴有脓肿的穿孔性阑尾炎：即刻还是择期阑尾切除术？一些实例说明我们的选择。

Perforated appendix with abscess: Immediate or interval appendectomy? Some examples to explain our choice.

作者信息

Guida Edoardo, Pederiva Federica, Grazia Massimo Di, Codrich Daniela, Lembo Maria Antonietta, Scarpa Maria Grazia, Rigamonti Waifro

机构信息

Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.

Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.

出版信息

Int J Surg Case Rep. 2015;12:15-8. doi: 10.1016/j.ijscr.2015.05.003. Epub 2015 May 7.

DOI:10.1016/j.ijscr.2015.05.003
PMID:25985296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4485681/
Abstract

INTRODUCTION

There are no clear guidelines in the treatment of a perforated appendicitis associated with periappendiceal abscess without generalized peritonitis.

PRESENTATION OF CASES

We retrospectively studied six examples of treated children in order to discuss the reasons of our team's therapeutic approach. Some children were treated with a conservative antibiotic therapy to solve acute abdomen pain, planning a routine interval appendectomy after some months. Others, instead, underwent an immediate appendectomy.

DISCUSSION

By examining these examples we wanted to highlight how the first approach may be associated with shorter surgery time, fewer overall hospital days, faster refeeding and minor complications.

CONCLUSION

Our team's therapeutic choice, in the case of a perforated appendicitis with an abscess and coprolith is an initial conservative case management followed by a routine interval appendectomy performed not later than 4 months after discharge.

摘要

引言

对于伴有阑尾周围脓肿且无弥漫性腹膜炎的穿孔性阑尾炎，目前尚无明确的治疗指南。

病例展示

我们回顾性研究了6例接受治疗的儿童病例，以探讨我们团队治疗方法的原因。一些儿童采用保守抗生素治疗以缓解急腹症疼痛，并计划在数月后进行常规间隔期阑尾切除术。另一些儿童则直接接受了阑尾切除术。

讨论

通过研究这些病例，我们想强调第一种方法可能与更短的手术时间、更少的总住院天数、更快的恢复进食以及更少的并发症相关。

结论

对于伴有脓肿和粪石的穿孔性阑尾炎病例，我们团队的治疗选择是首先进行保守的病例管理，然后在出院后不迟于4个月进行常规间隔期阑尾切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e3/4485681/d5657730b172/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e3/4485681/d5657730b172/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e3/4485681/d5657730b172/gr1.jpg

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本文引用的文献

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J Gastrointest Surg. 2013 Apr;17(4):766-70. doi: 10.1007/s11605-013-2143-3. Epub 2013 Jan 12.
2
Interval appendectomy after perforated appendicitis: what are the operative risks and luminal patency rates?穿孔性阑尾炎术后间隔期阑尾切除术：手术风险和管腔通畅率如何？
J Surg Res. 2012 Sep;177(1):127-30. doi: 10.1016/j.jss.2012.03.009. Epub 2012 Mar 30.
3
Quality of life assessment between laparoscopic appendectomy at presentation and interval appendectomy for perforated appendicitis with abscess: analysis of a prospective randomized trial.
间隔性阑尾切除术中儿童阑尾的组织病理学
Children (Basel). 2021 Sep 16;8(9):811. doi: 10.3390/children8090811.
4
Let It Chill: The Role of Interventional Radiology in Complicated Appendicitis. A Case Report.冷静应对：介入放射学在复杂性阑尾炎中的作用。病例报告。
Cureus. 2019 Jun 16;11(6):e4908. doi: 10.7759/cureus.4908.
5
Perforation risk in pediatric appendicitis: assessment and management.小儿阑尾炎的穿孔风险：评估与管理
Pediatric Health Med Ther. 2018 Oct 26;9:135-145. doi: 10.2147/PHMT.S155302. eCollection 2018.
6
The influence of payor status on outcomes associated with surgical repair of upper gastrointestinal perforations due to peptic ulcer disease in the United States.在美国，支付者状态对上消化道穿孔（消化性溃疡所致）手术修复相关结局的影响。
Am J Surg. 2019 Jan;217(1):121-125. doi: 10.1016/j.amjsurg.2018.06.025. Epub 2018 Jul 2.
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J Pediatr Surg. 2011 Jun;46(6):1121-5. doi: 10.1016/j.jpedsurg.2011.03.038.
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8
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