Alsayaf Alghamdi Ahmed G, Alzhrani Saleh M, Fayraq Amer, Alzahrani Saif A
General Surgery, King Fahad General Hospital, Al Baha, SAU.
General and Colorectal Surgery, King Fahad General Hospital, Al Baha, SAU.
Cureus. 2025 Jul 29;17(7):e88948. doi: 10.7759/cureus.88948. eCollection 2025 Jul.
Appendicitis is a common surgical emergency condition. Its timely and accurate diagnosis is crucial to prevent complications like perforation and abscess formation. However, distinguishing between uncomplicated and complicated appendicitis can be challenging. Clinical and imaging findings are often used, but their predictive value is still debatable. The objective of the study is to identify the predictive value of clinical and computed tomography (CT) scan findings for complicated appendicitis in patients who underwent appendectomy.
A retrospective analysis of data from a cohort of patients who underwent appendectomy in a tertiary governmental hospital was conducted. The study population included patients from varied demographic backgrounds, excluding those who were immunocompromised or had an appendectomy for reasons other than appendicitis. Data analysis was conducted using SPSS (IBM Corp., Armonk, NY, USA).
Out of 256 patients, 57.4% were male and the majority were of Saudi origin (74.6%). A significant difference in the distribution of Alvarado scores between groups with complicated (6, IQR: 5-7) and uncomplicated appendicitis (5, IQR: 4-6) was observed. The logistic regression analysis revealed symptom duration, Alvarado score, and the presence of cecal and ileum thickness in CT scan as significant predictors for complicated appendicitis.
Symptom duration, Alvarado score, and the presence of cecal and ileum thickness in CT scan are significant predictors for complicated appendicitis. Healthcare professionals should consider these predictors when assessing patients with suspected appendicitis to facilitate early identification and management of potential complications. Further research is required to validate these predictors in different populations and settings.
阑尾炎是一种常见的外科急症。其及时、准确的诊断对于预防诸如穿孔和脓肿形成等并发症至关重要。然而，区分单纯性阑尾炎和复杂性阑尾炎可能具有挑战性。临床和影像学检查结果经常被使用，但其预测价值仍存在争议。本研究的目的是确定临床和计算机断层扫描（CT）检查结果对接受阑尾切除术患者的复杂性阑尾炎的预测价值。
对一家三级政府医院接受阑尾切除术的一组患者的数据进行回顾性分析。研究人群包括来自不同人口背景的患者，不包括免疫功能低下或因阑尾炎以外原因接受阑尾切除术的患者。使用SPSS（美国纽约州阿蒙克市IBM公司）进行数据分析。
在256例患者中，57.4%为男性，大多数为沙特人（74.6%）。观察到复杂性阑尾炎组（Alvarado评分6，四分位间距：5 - 7）和单纯性阑尾炎组（Alvarado评分5，四分位间距：4 - 6）之间Alvarado评分分布存在显著差异。逻辑回归分析显示症状持续时间、Alvarado评分以及CT扫描中盲肠和回肠厚度的存在是复杂性阑尾炎的重要预测因素。
症状持续时间、Alvarado评分以及CT扫描中盲肠和回肠厚度的存在是复杂性阑尾炎的重要预测因素。医疗保健专业人员在评估疑似阑尾炎患者时应考虑这些预测因素，以便于早期识别和管理潜在并发症。需要进一步研究以在不同人群和环境中验证这些预测因素。
