Paull D L, Bloom G P
Arch Surg. 1982 Aug;117(8):1017-9. doi: 10.1001/archsurg.1982.01380320013004.
Of 61 patients with appendiceal abscess, 32 were treated by incision and drainage without appendectomy, with 16% morbidity. Seventeen patients had incision and drainage with appendectomy, with 24% morbidity. One patient, admitted in septic shock, died without operation. Average hospitalization was shortest in the nine patients treated nonoperatively. Many patients with appendiceal mass or abscess do not require immediate operation. In the 42 patients discharged without appendectomy, the recurrence rate of appendicitis was 5% at 9.1 months' average follow-up. Thirty-two elective interval appendectomies were performed at an average interval of 96 days, with 13% morbidity. At interval appendectomy, those patients from whom a free fecalith had been removed at the time of drainage had the greatest degree of appendiceal destruction. Interval appendectomy is probably not necessary in such patients.
在61例阑尾脓肿患者中，32例接受了切开引流而未行阑尾切除术，发病率为16%。17例患者接受了切开引流并阑尾切除术，发病率为24%。1例因感染性休克入院的患者未手术死亡。非手术治疗的9例患者平均住院时间最短。许多阑尾肿块或脓肿患者不需要立即手术。在42例未行阑尾切除术出院的患者中，平均随访9.1个月时阑尾炎复发率为5%。32例患者进行了择期间隔阑尾切除术，平均间隔96天，发病率为13%。在间隔阑尾切除术中，引流时取出游离粪石的患者阑尾破坏程度最大。这类患者可能不需要进行间隔阑尾切除术。
