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阑尾包块的现代治疗

Contemporary management of the appendiceal mass.

作者信息

Nitecki S, Assalia A, Schein M

机构信息

Department of Surgery B, Rambam Medical Centre, Haifa, Israel.

出版信息

Br J Surg. 1993 Jan;80(1):18-20. doi: 10.1002/bjs.1800800107.

DOI:10.1002/bjs.1800800107
PMID:8428281
Abstract

An appendiceal mass is the end result of a walled-off appendiceal perforation and represents a pathological spectrum ranging from phlegmon to abscess. Over the past decade, improved imaging and interventional radiological techniques have allowed a more accurate definition of pathology and thus a more specific and less invasive management than was previously possible. A management policy should be possible that allows over 80 per cent of patients presenting with an appendiceal mass to be safely spared an open operation.

摘要

阑尾包块是阑尾穿孔被包裹后的最终结果,代表了从蜂窝织炎到脓肿的一系列病理情况。在过去十年中,影像学和介入放射技术的进步使得对病理的定义更加准确,从而实现了比以往更具特异性且侵入性更小的治疗。应该制定一种治疗策略,使超过80%出现阑尾包块的患者能够安全地避免开腹手术。

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