附录是指一个附录
Paulina Salminen1,2, Jussi Haijanen3,4, Peter C Minneci5
1Department of Surgery, University of Turku, Turku, Finland. paulina.salminen@tyks.fi.
急性尾炎通常会导致腹部疼痛,现在已被理解为有多种不同的过程. 许多病例可以用抗生素治疗,在所有情况下都不需要立即进行手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 临床医学 临床医学
背景情况:
- 尾炎是急性腹痛和外科紧急情况的常见原因.
- 关于尾炎不可避免地发展为穿孔的传统观点正在受到挑战.
- 尾在微生物群和免疫学中的作用正在研究中.
研究的目的:
- 审查对尾炎病理生理学和临床过程的不断变化的理解.
- 突出诊断和治疗策略的进展.
- 强调需要对尾炎严重程度的标准化定义.
主要方法:
- 审查最近的证据,挑战尾炎进展的教条.
- 分析使用评分系统和成像的诊断准确性的进展.
- 评估非手术 (抗生素) 和手术治疗的结果.
主要成果:
- 尾炎并不总是外科紧急情况;更少的比例进展到穿孔.
- 抗生素治疗对大多数尾炎病例是有效的.
- 一些患者发生自发解脱,表明不同的疾病形式 (不复杂与复杂).
结论:
- 尾炎至少有两种形式:非穿孔 (不复杂) 和穿孔 (复杂).
- 对许多人来说,使用抗生素进行非手术治疗是安全有效的选择.
- 标准化定义和评估方法对于比较研究和制定治疗指南至关重要.
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