Riedel H H, Haag G M
Frauenklinik der RWTH Aachen.
Zentralbl Gynakol. 1989;111(16):1101-12.
Analyzing the medical history and operation protocols of 2,465 female patients undergoing pelviscopy for different reasons we found that 1,743 patients (71%) reported a previous appendectomy in their anamnesis. 657 patients presented adhesions after previous appendectomy. In 41.5% these adhesions were located in the middle right abdomen. In comparison to a collective of 308 patients without adhesions there were no correlations between the occurrence of adhesions post appendectomy and chronic lower abdominal pain. In conclusion it is to point out that laparotomy--especially appendectomy--correlates in 70% with postoperative adhesions. These adhesions correlate in 30% of cases with chronic abdominal pains and in 40 to 50% we were able to prove periovarian and peritubal adhesions in cases of sterility. In order to prevent unnecessary appendectomy or other unnecessary laparotomies with later formation of adhesion it is very important to use laparoscopy in all questionable cases.
分析2465例因不同原因接受盆腔镜检查的女性患者的病史和手术记录，我们发现1743例患者（71%）在既往史中报告曾行阑尾切除术。657例患者在既往阑尾切除术后出现粘连。其中41.5%的粘连位于右中腹。与308例无粘连的患者群体相比，阑尾切除术后粘连的发生与慢性下腹痛之间无相关性。总之，需要指出的是，剖腹手术——尤其是阑尾切除术——70%与术后粘连相关。这些粘连在30%的病例中与慢性腹痛相关，在40%至50%的不育病例中，我们能够证实存在卵巢周围和输卵管周围粘连。为了避免不必要的阑尾切除术或其他后期形成粘连的不必要剖腹手术，在所有可疑病例中使用腹腔镜检查非常重要。
