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[寄生虫在小儿阑尾炎病因学中的作用]

[Parasites in the Etiology of Pediatric Appendicitis].

作者信息

Yıldız Turan, İlçe Zekerya, Turan Gupse, Bozdağ Zehra, Elmas Bahri

机构信息

Sakarya Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Sakarya, Türkiye.

出版信息

Turkiye Parazitol Derg. 2015 Sep;39(3):190-3. doi: 10.5152/tpd.2015.3737.

Abstract

OBJECTIVE

Appendicitis is the most common cause of operation in the children. Fekalit, lymphoid hyperplasia, parasites and foreign bodies are accused as the causes of appendicitis. In this study, we wanted to evaluate that the role of parasitic infections in pediatric appendicitis.

METHODS

Histopathological results of the patients who underwent operations for acute appendicitis between January 2008 and 2014 were evaluated. The patients who have parasite in appendiceal specimens were detected and parasites were recorded.

RESULTS

Fourteen of 846 patients underwent appendectomy, were classified as parasitic appendicitis. Enterobius vermicularis was observed in 12 and Taenia spp. was observed in 2 patients, Three children with appendicitis had parasitic infection in pathological examination. Two of them were Enterobius vermicularis, and one was Taenia spp.

CONCLUSION

Enterobius vermicularis is the most common parasites in appendiks. Parasites often cause abdominal pain at right lower quadrant without any inflammation in the appendiks. However, parasites are responsible for some appendicitis as an etiologic factor. In our study, 0.39% of patients with appendicitis, parasites were also detected. As a result, we think that right lower quadrant pain and the incidence of appendicitis will reduce by time with the diagnosis and treatment of parasites.

摘要

目的

阑尾炎是儿童最常见的手术病因。粪石、淋巴组织增生、寄生虫和异物被认为是阑尾炎的病因。在本研究中,我们想评估寄生虫感染在小儿阑尾炎中的作用。

方法

对2008年1月至2014年期间接受急性阑尾炎手术患者的组织病理学结果进行评估。检测阑尾标本中有寄生虫的患者,并记录寄生虫情况。

结果

846例行阑尾切除术的患者中,14例被归类为寄生虫性阑尾炎。12例观察到蛲虫,2例观察到绦虫属。3例阑尾炎患儿在病理检查中发现有寄生虫感染。其中2例为蛲虫,1例为绦虫属。

结论

蛲虫是阑尾中最常见的寄生虫。寄生虫常引起右下腹疼痛,而阑尾无任何炎症。然而,寄生虫作为病因可导致一些阑尾炎。在我们的研究中,阑尾炎患者中有0.39%也检测到了寄生虫。因此,我们认为随着寄生虫的诊断和治疗,右下腹疼痛和阑尾炎的发病率将随时间降低。

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