小儿慢性阑尾炎未行手术切除：内镜逆行阑尾炎治疗（ERAT）的病例研究
Pediatric chronic appendicitis without surgical resection: A case study of endoscopic retrograde appendicitis therapy (ERAT).
作者信息
Wang Xue-Qi, Kong Chi-Huan
机构信息
Department of General Surgery, Children's Hospital Capital Institute of Pediatrics, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Department of General Surgery, Children's Hospital Capital Institute of Pediatrics, Beijing, China.
出版信息
Int J Surg Case Rep. 2024 Nov;124:110386. doi: 10.1016/j.ijscr.2024.110386. Epub 2024 Oct 2.
INTRODUCTION AND IMPORTANCE
Chronic appendicitis in pediatric patients is rare and challenging to diagnose, typically leading to surgical resection. However, Endoscopic Retrograde Appendicitis Therapy (ERAT) offers a minimally invasive alternative that preserves the appendix, maintaining its immune and digestive functions.
CASE PRESENTATION
A 13-year-old boy with a year-long history of worsening abdominal pain underwent ERAT. The procedure provided symptom relief and preserved the appendix.
CLINICAL DISCUSSION
ERAT successfully treated the appendicitis while preserving the appendix, which plays crucial immune and digestive roles, especially in children.
CONCLUSION
ERAT is a promising, non-surgical alternative for chronic appendicitis in pediatric patients, warranting further study.
引言与重要性
小儿慢性阑尾炎较为罕见，诊断具有挑战性，通常需进行手术切除。然而，内镜逆行阑尾炎治疗术（ERAT）提供了一种微创替代方案，可保留阑尾，维持其免疫和消化功能。
病例介绍
一名有长达一年腹痛加重病史的13岁男孩接受了ERAT治疗。该手术缓解了症状并保留了阑尾。
临床讨论
ERAT成功治疗了阑尾炎，同时保留了阑尾，阑尾在免疫和消化方面起着关键作用，尤其是在儿童中。
结论
ERAT是小儿慢性阑尾炎一种有前景的非手术替代方法，值得进一步研究。
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