Eldar S, Faraggi D, Abrahamson J, Schein M
Department of Surgery, Bnei Zion Medical Center, Haifa, Israel.
Eur J Surg. 1995 Dec;161(12):897-900.
To examine the influence of the menstrual cycle on the incidence and presentation of acute appendicitis.
Retrospective study.
University hospital, Israel.
144 women of child bearing age operated on for suspected acute appendicitis and subdivided according to the menstrual phase during which they presented.
The final diagnoses, clinical presentation, and laboratory data.
There were no significant differences in the incidence of acute, gangrenous, or perforated appendicitis in patients operated on during the various phases of the menstrual cycle. During menstruation, however, a normal appendix not accompanied by other disease was found significantly more often (p = 0.04). Clinical presentation, physical findings, and laboratory results did not vary throughout the menstrual cycle except for the "classic shifting pain" which was significantly more common during the luteal phase.
Acute appendicitis occurs randomly during the various phases of the menstrual cycle. The incidence of operations for uninflamed appendixes may be higher during the menstrual phase. Significantly more negative laparotomies are done during the menstrual phase, which suggests the existence of a functional disorder that mimics acute appendicitis.
研究月经周期对急性阑尾炎发病率及临床表现的影响。
回顾性研究。
以色列大学医院。
144名育龄期女性，因疑似急性阑尾炎接受手术，并根据就诊时的月经周期阶段进行分组。
最终诊断结果、临床表现及实验室检查数据。
月经周期各阶段接受手术的患者，急性、坏疽性或穿孔性阑尾炎的发病率无显著差异。然而，在月经期，发现无其他疾病伴随的正常阑尾的情况明显更多（p = 0.04）。除“典型转移性疼痛”在黄体期明显更常见外，临床表现、体格检查结果及实验室检查结果在整个月经周期中并无变化。
急性阑尾炎在月经周期各阶段随机发生。月经期无炎症阑尾的手术发生率可能更高。月经期进行的阴性剖腹探查明显更多，这表明存在一种类似急性阑尾炎的功能紊乱。
