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Renewed Interest in Acute Appendicitis: Are Antibiotics Non-Inferior to Surgery or Possibly Clinically Superior? What Is Long-Term Follow-Up and Natural Evolution of Appendicitis Treated Conservatively with "Antibiotics First"?

作者信息

Di Saverio Salomone, Sartelli Massimo, Catena Fausto, Birindelli Arianna, Tugnoli Gregorio

机构信息

1 Department of Surgery, Maggiore Hospital-Bologna Local Health District , Bologna, Italy .

2 Trauma Surgery Unit-Department of Emergency Surgery, Maggiore Hospital-Bologna Local Health District , Bologna, Italy .

出版信息

Surg Infect (Larchmt). 2016 Jun;17(3):376-7. doi: 10.1089/sur.2015.206. Epub 2016 Feb 26.

DOI:10.1089/sur.2015.206
PMID:26918798
Abstract
摘要

相似文献

1
Renewed Interest in Acute Appendicitis: Are Antibiotics Non-Inferior to Surgery or Possibly Clinically Superior? What Is Long-Term Follow-Up and Natural Evolution of Appendicitis Treated Conservatively with "Antibiotics First"?对急性阑尾炎的重新关注：抗生素是否不劣于手术，甚至在临床上可能更具优势？“先使用抗生素”保守治疗阑尾炎的长期随访情况及自然转归是怎样的？
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Long-Term Results Following Antibiotic Treatment of Acute Appendicitis in Adults.成人急性阑尾炎抗生素治疗后的长期结果
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Nonoperative treatment with antibiotics versus surgery for acute nonperforated appendicitis in children: a pilot randomized controlled trial.儿童急性非穿孔性阑尾炎抗生素非手术治疗与手术治疗的比较：一项初步随机对照试验
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The NOTA Study (Non Operative Treatment for Acute Appendicitis): prospective study on the efficacy and safety of antibiotics (amoxicillin and clavulanic acid) for treating patients with right lower quadrant abdominal pain and long-term follow-up of conservatively treated suspected appendicitis.NOTA 研究（急性阑尾炎非手术治疗）：前瞻性研究抗生素（阿莫西林和克拉维酸）治疗右下腹痛患者的疗效和安全性，以及对保守治疗疑似阑尾炎的长期随访。
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Antibiotics-first strategy for uncomplicated acute appendicitis in adults is associated with increased rates of peritonitis at surgery. A systematic review with meta-analysis of randomized controlled trials comparing appendectomy and non-operative management with antibiotics.成人单纯性急性阑尾炎的抗生素优先策略与手术时腹膜炎发生率增加相关。一项对比较阑尾切除术与抗生素非手术治疗的随机对照试验进行系统评价和荟萃分析。
Surgeon. 2017 Oct;15(5):303-314. doi: 10.1016/j.surge.2017.02.001. Epub 2017 Mar 9.
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Can Children With Uncomplicated Acute Appendicitis Be Treated With Antibiotics Instead of an Appendectomy?单纯性急性阑尾炎患儿能用抗生素而非阑尾切除术治疗吗？
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Antibiotics or Appendectomy for Acute Non-Perforated Appendicitis--How to Interpret the Evidence?急性非穿孔性阑尾炎：抗生素治疗还是阑尾切除术——如何解读证据？
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Antibiotic therapy for acute appendicitis in adults. Fewer immediate complications than with surgery, but more subsequent failures.成人急性阑尾炎的抗生素治疗。与手术相比，即时并发症更少，但后续失败情况更多。
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Ultrasonographic findings after conservative treatment of acute appendicitis and open appendicectomy.急性阑尾炎保守治疗及开腹阑尾切除术后的超声检查结果
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[Antibiotic treatment as the standard for appendicitis].[抗生素治疗作为阑尾炎的标准]
Ugeskr Laeger. 2014 Nov 17;176(47).

引用本文的文献

1
Developing and validating of Ramathibodi Appendicitis Score (RAMA-AS) for diagnosis of appendicitis in suspected appendicitis patients.开发和验证 Ramathibodi 阑尾炎评分（RAMA-AS）用于诊断疑似阑尾炎患者的阑尾炎。
World J Emerg Surg. 2017 Nov 9;12:49. doi: 10.1186/s13017-017-0160-3. eCollection 2017.
2
The current management of acute uncomplicated appendicitis: should there be a change in paradigm? A systematic review of the literatures and analysis of treatment performance.急性单纯性阑尾炎的现行治疗管理：是否需要改变模式？文献系统评价和治疗效果分析。
World J Emerg Surg. 2017 Oct 16;12:46. doi: 10.1186/s13017-017-0157-y. eCollection 2017.
3
A prospective non-randomized controlled, multicenter trial comparing Appendectomy and Conservative Treatment for Patients with Uncomplicated Acute Appendicitis (the ACTUAA study).
一项比较单纯性急性阑尾炎患者阑尾切除术与保守治疗的前瞻性非随机对照多中心试验（ACTUAA研究）。
Int J Colorectal Dis. 2017 Nov;32(11):1649-1660. doi: 10.1007/s00384-017-2878-5. Epub 2017 Aug 15.