Blair N P, Bugis S P, Turner L J, MacLeod M M
Department of General Surgery, Royal Columbian Hospital, New Westminster, British Columbia, Canada.
Am J Surg. 1993 May;165(5):618-20. doi: 10.1016/s0002-9610(05)80446-5.
A retrospective review of 2,216 patients surgically treated for a clinical diagnosis of acute appendicitis was performed. In 80% of cases, histologic acute appendicitis was found; 57% of these patients were male. The rate of normal appendectomy was 16%, and females comprised 68% of that group. The remaining 102 cases (4%) were designated as the alternate diagnosis group. Apart from histologic diagnoses that could be considered variants of normal (57) or acute inflammation (20), the alternate diagnosis group included such entities as neoplasm, parasitic infection, mucocele, and diverticulitis.
对2216例因临床诊断为急性阑尾炎而接受手术治疗的患者进行了回顾性研究。在80%的病例中发现了组织学上的急性阑尾炎；这些患者中57%为男性。正常阑尾切除术的比例为16%，该组中女性占68%。其余102例（4%）被指定为鉴别诊断组。除了可被视为正常变异（57例）或急性炎症（20例）的组织学诊断外，鉴别诊断组还包括肿瘤、寄生虫感染、黏液囊肿和憩室炎等疾病。
