Andrew M H, Roty A R
Department of Surgery, College of Human Medicine, Michigan State University, East Lansing.
Am Surg. 1987 Oct;53(10):553-7.
To evaluate the advisability of incidental appendectomy relative to patient age, a retrospective chart review of 905 patients undergoing elective cholecystectomy between 1979 and 1983 was undertaken. A total 377 of these patients underwent incidental appendectomy. The overall complication rate in the two groups was the same. Wound infection occurred in 1.5 per cent of patients undergoing cholecystectomy alone, compared with 3.7 per cent in those patients undergoing incidental appendectomy as well. Patients over the age of 50 who underwent incidental appendectomy had a wound infection rate of 5.9 per cent, compared with 0.9 per cent in those patients over 50 who underwent cholecystectomy alone, a difference found to be statistically significant (P less than .05). Therefore, incidental appendectomy cannot be recommended for patients over the age of 50.
为评估相对于患者年龄而言，行阑尾切除术是否明智，我们对1979年至1983年间接受择期胆囊切除术的905例患者进行了回顾性病历审查。其中共有377例患者接受了阑尾切除术。两组的总体并发症发生率相同。仅接受胆囊切除术的患者中，伤口感染发生率为1.5%，而同时接受阑尾切除术的患者中这一比例为3.7%。50岁以上接受阑尾切除术的患者伤口感染率为5.9%，而50岁以上仅接受胆囊切除术的患者伤口感染率为0.9%，这一差异具有统计学意义（P小于0.05）。因此，不建议50岁以上的患者行阑尾切除术。
