Division of Pediatric Surgery, Department of Surgery, Dentistry, Pediatrics and Gynecology, Woman and Child Hospital, University of Verona, Verona, Italy -
Division of Pediatric Surgery, Department of Surgery, Dentistry, Pediatrics and Gynecology, Woman and Child Hospital, University of Verona, Verona, Italy.
Minerva Pediatr (Torino). 2024 Feb;76(1):79-85. doi: 10.23736/S2724-5276.21.05872-2. Epub 2021 Apr 2.
The influence of sex, socioeconomic status, and other factors on outcomes from acute illness has been found recently with an increasing interest; acute appendicitis is the most frequent urgency in pediatric age. The aim of this study was to show any gender differences.
We retrospectively analyzed the medical records of consecutive patients who underwent surgical exploration for acute appendicitis. Inclusion and exclusion criteria were created. Patient data, demographics, characteristics, and outcomes were studied and evaluated on a gender perspective.
After reviewing medical charts following the inclusion and exclusion criteria, 364 patients were studied; focusing on final outcomes, it was possible to add news from a gender perspective of appendicitis: gangrenous appendicitis was associated with younger female and older female were more likely to have false positive appendicitis; female had less postoperative pain respect to age-match male for all appendicitis and males had more symptoms respect to females especially for phlegmonous and gangrenous appendicitis.
There is a gender difference in appendicitis; as for adult girls appear to be affected less, have fewer symptoms, and have better postoperative results.
最近越来越多的人关注到性别、社会经济地位和其他因素对急性疾病结果的影响；急性阑尾炎是儿科最常见的急症。本研究旨在显示任何性别差异。
我们回顾性分析了连续接受手术探查的急性阑尾炎患者的病历。制定了纳入和排除标准。研究和评估了患者数据、人口统计学、特征和结局的性别视角。
在审查了符合纳入和排除标准的病历后，共研究了 364 名患者；从阑尾炎的性别角度来看，坏疽性阑尾炎与年轻女性有关，而老年女性更有可能出现假阳性阑尾炎；对于所有阑尾炎，女性术后疼痛比同龄男性少，而男性比女性有更多的症状，特别是对于蜂窝织炎和坏疽性阑尾炎。
阑尾炎存在性别差异；与成年男性相比，女孩受影响较小，症状较少，术后结果更好。
