Bradley E L, Isaacs J
Arch Surg. 1978 Feb;113(2):130-2. doi: 10.1001/archsurg.1978.01370140020003.
Appendiceal abscess developed in 2% of 2,621 patients with acute appendicitis seen between 1962 and 1976. While representing a commendable decline in frequency from earlier studies, in view of the demonstrated prolonged delay in seeking medical care, further decreases in incidence could be affected by increased patient education. Sixty-one of 68 patients underwent surgical drainage of the abscess, with a 28% complication rate. Interval appendectomy was performed in 42 cases, with a 19% complication rate. Two patients (3%) died. These rates do no differ appreciably from those reported during the preantibiotic era. Recurrent appendicitis developed in only one of 13 patients not undergoing interval appendectomy during a follow-up period averaging five years. Interval appendectomy should be withheld only in those poor-risk patients in whom the 10% to 20% incidence of recurrent appendicitis seems the smaller risk.
在1962年至1976年间就诊的2621例急性阑尾炎患者中，阑尾脓肿的发生率为2%。尽管与早期研究相比，这一发生率呈值得称赞的下降趋势，但鉴于已证实患者寻求医疗护理的时间延长，通过加强患者教育可能会进一步降低发病率。68例患者中有61例行脓肿手术引流，并发症发生率为28%。42例行间隔期阑尾切除术，并发症发生率为19%。2例患者（3%）死亡。这些发生率与抗生素时代之前报道的发生率相比没有明显差异。在平均为期五年的随访期内，13例未行间隔期阑尾切除术的患者中只有1例发生复发性阑尾炎。只有那些复发阑尾炎发生率为10%至20%、风险较小的高危患者才应避免行间隔期阑尾切除术。
