隐藏的尾炎及其对急性尾炎严重程度和治疗的影响
Maximilian Dölling1, Mirhasan Rahimli1, Jonas Pachmann1
1Department of General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, 39120 Magdeburg, Germany.
尾炎或尾石比以前认为的更常见,在71.4%的急性尾炎病例中发现. 这种更高的患病率可能解释了为什么非手术治疗无并发性尾炎往往失败.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 没有并发症的急性尾炎 (UAA) 通常在尾炎缺席时不进行手术 (NOT) 治疗.
- 没有显著的治疗失败率,可能与低估的尾炎患病率有关.
- 之前的回顾性研究估计尾炎的患病率在15-38%之间.
研究的目的:
- 预期评估急性尾炎 (AA) 患者中尾炎的实际患病率.
- 调查是否对尾炎的低估有助于UAA中 NOT 失败率.
主要方法:
- 一项针对56名被诊断患有AA的成年患者的前性研究.
- 使用了标准的诊断方法,并结合了虫状尾的内科外体切口.
主要成果:
- 在手术前的切口检测出比手术前的成像检测多出50%的尾炎 (36对24).
- 在71.4%的AA患者中检测到尾炎 (40/56).
- 观察到尾炎检测的统计显著增加 (p < 0.001).
结论:
- 传统的诊断方法可能低估了AA中尾炎的患病率.
- 尾炎的高患病率可能解释了与UAA NOT相关的频繁治疗失败.
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