Veeralakshmanan Pushpa, Ackah James, Panahi Pedram, Ibrahim Rashid, Coleman Mark
Department of General Surgery, University Hospitals Plymouth, United Kingdom.
Ann Med Surg (Lond). 2020 Sep 26;59:161-164. doi: 10.1016/j.amsu.2020.09.028. eCollection 2020 Nov.
A best evidence topic in general surgery was written according to a structured protocol. The question addressed was whether early or interval appendicectomy provides a superior clinical outcome for children presenting with localised perforated appendix. Altogether 204 papers were found using the search strategy reported below; of which 5 were identified to provide the best evidence to answer the question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses were tabulated. We concluded that for children presenting with localised perforated appendix without abscess formation, early appendicectomy provides better clinical outcome in terms of lower complication and re-admission rate and shorter length of hospital stay.
一篇普通外科的最佳证据主题文章是按照结构化方案撰写的。所探讨的问题是，对于出现局限性穿孔性阑尾炎的儿童，早期或间隔期阑尾切除术是否能带来更好的临床结果。使用以下报告的检索策略共找到204篇论文；其中5篇被确定为提供了回答该问题的最佳证据。对作者、期刊、出版日期和国家、所研究的患者群体、研究类型、相关结果、研究结果以及研究的不足之处进行了列表整理。我们得出结论，对于出现局限性穿孔性阑尾炎且无脓肿形成的儿童，早期阑尾切除术在降低并发症和再入院率以及缩短住院时间方面能带来更好的临床结果。
