Levine J S, Gomez G A, Dove D B
South Med J. 1986 Feb;79(2):177-9. doi: 10.1097/00007611-198602000-00010.
We report a retrospective study of 282 consecutive patients who had appendectomy for suspected acute appendicitis at the University of Miami/Jackson Memorial Medical Center during a 15-month period. The overall incidence of negative explorations of 7.4% was significantly lower than that reported in the literature, and occurred without a significant increase in the incidence of perforation (22%). Since no sophisticated diagnostic tests were used, we suggest that a decrease in the presently accepted negative exploration rate of 15% to 20% can be achieved on the basis of a careful history, detailed physical examination, and basic laboratory and x-ray studies.
我们报告了一项回顾性研究，研究对象为在15个月期间于迈阿密大学/杰克逊纪念医学中心因疑似急性阑尾炎接受阑尾切除术的282例连续患者。阴性探查的总体发生率为7.4%，显著低于文献报道，且穿孔发生率（22%）无显著增加。由于未使用复杂的诊断测试，我们建议基于仔细的病史、详细的体格检查以及基础实验室和X光检查，可将目前公认的15%至20%的阴性探查率降低。
