Eriksson S, Tisell A, Granström L
Department of Surgery, Karolinska Institute and Danderyd Hospital, Sweden.
Acta Radiol. 1995 Mar;36(2):173-7.
In a randomized study we investigated the effects of antibiotics as the only treatment in acute appendicitis. Forty patients were examined, 19 after antibiotic treatment (one operated due to perforation) and 21 after surgery. All patients were examined prior to randomization, after 10 days and after 30 days. Of the positive ultrasonographic (US) findings, 18 (86%) of the 21 operated patients had histologically proven acute appendicitis. At the 10th day, 9 patients had a seroma under the scar, which had disappeared a month after surgery in all patients. In the 19 patients conservatively treated with antibiotics, the appendix could be visualized in 8 symptom-free cases on the 10th day. In 5 of the 8 patients the appendix was still visualized after 1 month. Three of these 5 had recurrent appendicitis within a year. It is concluded that US can be used not only in diagnosing acute appendicitis, but also in the evaluation of treatments such as antibiotics.
在一项随机研究中，我们调查了抗生素作为急性阑尾炎唯一治疗方法的效果。检查了40例患者，19例接受抗生素治疗（1例因穿孔而进行手术），21例接受手术治疗。所有患者在随机分组前、10天后和30天后均接受检查。在接受手术的21例患者中，21例超声（US）检查结果为阳性的患者中有18例（86%）经组织学证实为急性阑尾炎。在第10天，9例患者在瘢痕下出现血清肿，所有患者在术后1个月血清肿均消失。在19例接受抗生素保守治疗的患者中，10天时在8例无症状患者中可观察到阑尾。这8例患者中有5例在1个月后仍可观察到阑尾。这5例患者中有3例在1年内复发阑尾炎。结论是，超声不仅可用于诊断急性阑尾炎，还可用于评估抗生素等治疗方法。
