Krzyzak Michael, Mulrooney Stephen M
Internal Medicine, Staten Island University Hospital - Northwell Health, New York, USA.
Gastroenterology, Staten Island University Hospital - Northwell Health, New York, USA.
Cureus. 2020 Jun 11;12(6):e8562. doi: 10.7759/cureus.8562.
Appendicitis is a common occurrence in both the adult and pediatric populations. The condition most commonly occurs between the ages of 10 and 20 years with a lifetime risk of 8.6% and 6.7% for males and females respectively. Its diagnosis focuses on clinical presentation and imaging modalities classified according to scoring systems such as the Alvarado scoring system. A number of imaging modalities can be used, with CT being the most common one. For acute appendicitis, surgical intervention is considered to be the gold standard of treatment. However, recent research has focused on other modalities of treatment including antibiotics and endoscopic retrograde appendicitis therapy (ERAT) to avoid surgical complications.
阑尾炎在成人和儿童群体中都很常见。这种病症最常发生在10至20岁之间，男性和女性终生患病风险分别为8.6%和6.7%。其诊断重点在于临床表现以及根据诸如阿尔瓦拉多评分系统等评分体系分类的影像学检查方法。可以使用多种影像学检查方法，其中CT最为常用。对于急性阑尾炎，手术干预被认为是治疗的金标准。然而，最近的研究集中在其他治疗方式上，包括抗生素和内镜逆行阑尾炎治疗（ERAT），以避免手术并发症。
