Schreiber H W, Otto H F, Koch G, Kortmann K B
Chirurg. 1978 Nov;49(11):679-83.
Various diseases can symptomatically resemble appendicitis. It has been proved that luminal obstruction is the most frequent cause of inflammation of the appendix. There are various causes of obstruction, such as scars, foreign bodies, tumors, granulomas, and dysfunction of coecocolon. Every appendix should therefore be histologically examined. The operative indication for appendectomy should not only include the time factor, but also anamnesis, complaints, and clinical presentation. It is inconsiderate to perform appendectomy as a prophylaxis against appendicitis. Finally, it is surprising that there have been almost no experimental studies on pathogenesis of appendicitis.
多种疾病在症状上可能类似于阑尾炎。已证实管腔阻塞是阑尾炎症最常见的原因。阻塞有多种原因,如瘢痕、异物、肿瘤、肉芽肿以及盲结肠功能障碍。因此,每个阑尾都应进行组织学检查。阑尾切除术的手术指征不仅应包括时间因素,还应包括病史、症状和临床表现。将阑尾切除术作为预防阑尾炎的手段是欠考虑的。最后,令人惊讶的是,几乎没有关于阑尾炎发病机制的实验研究。