Skoubo-Kristensen E, Hvid I
Ann Surg. 1982 Nov;196(5):584-7. doi: 10.1097/00000658-198211000-00013.
During a ten-year period 193 patients with an appendiceal mass--and subsequently proved postinflammatory changes of the appendix--were treated conservatively. The course was uneventful in 88%. Twelve per cent underwent delayed surgical intervention caused by complications with one death. Elective appendectomy was performed after three months with a complication rate of 3.4%. In comparison with series with early operation the conservative management seems to carry a lower morbidity. The value of elective appendectomy is discussed.
在十年期间,对193例阑尾肿块患者(随后证实阑尾有炎症后改变)进行了保守治疗。88%的患者病程平稳。12%的患者因并发症接受了延迟手术干预,其中1例死亡。三个月后进行了择期阑尾切除术,并发症发生率为3.4%。与早期手术的系列研究相比,保守治疗的发病率似乎较低。文中讨论了择期阑尾切除术的价值。