对3003份阑尾病理的分析。

An analysis of the pathology of 3003 appendices.

作者信息

Chang A R

出版信息

Aust N Z J Surg. 1981 Apr;51(2):169-78. doi: 10.1111/j.1445-2197.1981.tb05932.x.

DOI:10.1111/j.1445-2197.1981.tb05932.x

Abstract

An analysis was made of 3003 appendices seen in a ten-year period (1969-1978) in the Dunedin Hospital Surgical Pathology Laboratory. Acute appendicitis was found to be a disease of the young, with 1385 (80%) cases out of 1711 occurring in patients less than 30 years of age. Faecaliths and lymphoid hyperplasia were found only in a very small percentage of acute appendicitis cases, and this lends further support to the hypothesis that acute appendicitis is a disease of western culture where the diet is low in cellulose. There was no seasonal predilection for acute appendicitis. Other pathological conditions were discussed and illustrated. More normal appendices and more of those exhibiting non-acute conditions were removed from females. The submission of appendices for histological evaluation is a most worthwhile procedure, with a significant yield of unexpected important information.

摘要

对达尼丁医院外科病理实验室在10年期间（1969 - 1978年）所见的3003份阑尾进行了分析。发现急性阑尾炎是一种多见于年轻人的疾病，在1711例病例中有1385例（80%）发生在30岁以下的患者中。粪石和淋巴组织增生仅在极少数急性阑尾炎病例中发现，这进一步支持了急性阑尾炎是西方文化背景下的一种疾病的假说，在西方文化中饮食中纤维素含量较低。急性阑尾炎没有季节性偏好。文中讨论并展示了其他病理情况。从女性身上切除的正常阑尾以及表现为非急性病症的阑尾更多。提交阑尾进行组织学评估是一项非常有价值的程序，能显著获得意想不到的重要信息。