Dagradi V, Delaini G G, Carolo F, Piccinelli D, Lolli P
Chir Ital. 1984 Dec;36(6):986-93.
The Authors, on the basis of the casuistry of the Verona Surgical Centre, concerning the interventions for Crohn's disease from 1973 up to 1983, and comparing the data of literature, study the problem of appendicectomy in Crohn's disease. They suggest the operation of appendicectomy both when there are signs of appendicopathy in course, joined to a pathology of the last ileum ansa, and in presence of apparently sound appendix and clear signs of ileum Crohn's disease. They think it opportune to avoid appendicectomy only in presence of clear signs of involvement of caecum by the morbid process.
作者基于维罗纳外科中心1973年至1983年期间克罗恩病的治疗案例,并与文献数据进行比较,研究了克罗恩病患者阑尾切除术的问题。他们建议,当出现阑尾病变迹象且伴有末段回肠袢病变时,以及阑尾外观正常但有明显的回肠克罗恩病迹象时,都应进行阑尾切除术。他们认为,只有在病变过程明显累及盲肠时,才应避免进行阑尾切除术。