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在澳大利亚远北昆士兰州的儿科尾切除患者中,Enterobius vermicularis:一项回顾性研究

Sophia Chan¹, Elena Pilat¹, Juyong Cheong¹

¹General Surgery, Cairns Hospital, Cairns, AUS.

|February 19, 2026

概括

在远北昆士兰州近10%的儿童尾切除标本中发现了Enterobius vermicularis (pinworm). 许多病例缺乏炎症,这表明针虫可以模仿尾炎,需要仔细诊断.

科学领域:

医学寄生虫学医学寄生虫学
儿科手术儿科手术
胃肠病学胃肠病学

背景情况:

虫虫 (E. vermicularis) 感染在儿童中很常见,通常在尾切除标本中偶然发现.
在急性尾炎的发病过程中,E. vermicularis的作用是有争议的,许多病例显示出最小的炎症.
澳大利亚关于儿童尾炎中E. vermicularis的流行率和临床意义的数据有限.

研究的目的:

确定远北昆士兰州的儿科尾切除标本中E. vermicularis的流行情况.
在这些情况下评估E. vermicularis的临床和病理意义.
评估E. vermicularis和急性尾炎之间的关联.

主要方法:

在凯恩斯医院 (2020-2024) 对儿科尾切除术 (<16岁) 的回顾性研究.
数据提取包括人口统计,白细胞计数 (WCC),C反应蛋白 (CRP),手术内发现和组织病理学.
统计分析比较了E. vermicularis阳性和阴性病例的特征.

主要成果:

进行了455次儿科尾切除手术,370人 (81%) 患有急性尾炎.
在45个标本 (9.9%) 中发现了E. vermicularis.
在E. vermicularis阳性病例中,37.8%的外科手术期间尾正常,而42%缺乏组织学尾炎. 增加的WCC和CRP分别在37.8%和60.4%的人群中被发现.

结论:

在FNQ的儿科尾切除术中,E. vermicularis的流行率高于许多当代研究.
大多数E. vermicularis阳性病例缺乏组织学尾炎,支持其作为尾炎 (尾结肠) 的模仿作用.
常规组织病理学检查对于抗寄生虫治疗和家庭管理至关重要,临床意识可以减少不必要的手术.

关键词:

急性尾炎的诊断诊断急性尾炎的诊断紧急尾切除术是一项紧急的尾切除术.虫虫 (Enterobius vermicularis) 是一种有毒的植物.儿科尾炎的治疗方法农村外科手术农村外科手术

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