Division of Trauma Surgery and Surgical Critical Care, Department of Surgery, Creighton University School of Medicine, Creighton University Medical Center, 7710 Mercy Road #2000, Omaha, NE 68124, USA; Department of Translational Science, Creighton University School of Medicine, Creighton University Medical Center, 7500 Mercy Road, Omaha, NE 68124, USA.
General Surgery, Creighton University School of Medicine, Omaha, NE, USA.
Surg Clin North Am. 2018 Oct;98(5):1005-1023. doi: 10.1016/j.suc.2018.05.006. Epub 2018 Jul 13.
The treatment of appendicitis has evolved since the first appendectomy in the eighteenth century. It seems to have come full circle with nonoperative management in the era before frequent surgical interventions, to open surgical interventions, minimally invasive interventions, and now back to a renewed interest in nonoperative management of acute appendicitis. Scoring systems to help refine the diagnosis of acute appendicitis and advances in medical imaging have also changed the management of this condition. Scientific investigations into the effects the microbiome of the appendix plays in this disease process are also being considered.
自 18 世纪首例阑尾切除术以来，阑尾炎的治疗方法已经发生了演变。在频繁手术干预之前的时代，非手术治疗似乎已经达到了一个循环，从开放手术干预、微创手术干预，到现在又重新对急性阑尾炎的非手术治疗产生了兴趣。评分系统有助于完善急性阑尾炎的诊断，医学影像学的进步也改变了这种疾病的治疗方法。人们也在考虑对阑尾微生物组在疾病过程中所起的作用进行科学研究。
