急性阑尾炎诊治策略

Diagnosis and treatment strategy of acute appendicitis

急性阑尾炎是最常见的外科急症之一,阑尾切除术是最常实施的外科手术之一。通过诊断性影像技术,如超声、CT和MRI,并结合临床表现与实验室指标,可以做出准确的诊断并评估其病理学类型,以避免延误诊治;并且据此分层或辨别出复杂性急性阑尾炎,以决策手术治疗还是保守治疗。阑尾脓肿、孕期阑尾炎和复发性阑尾炎等须根据病人特殊情况予以诊治。急性阑尾炎诊治目的在于提供符合以病人为中心的治疗决策,以减轻病人的痛苦、节省医疗资源以及减少并发症。

Acute appendicitis is one of the most common general surgical emergencies.Accordingly,appendectomy is one of the most frequently performed surgical procedures.The nearly confirmed diagnosis can be made,and type of pathology can be estimated through diagnostic imaging techniques,such as ultrasound,CT and MRI,combined with clinical manifestations and laboratory tests.Hence,delayed diagnosis or misdiagnosis may be avoided or reduced effectively;complicated acute appendicitis may be identified or stratified.By that means,decision-making strategy of surgical or conservative intervention is recommended.Furthermore,the diagnosis and treatment of appendiceal abscess,appendicitis during pregnancy,recurrent appendicitis and other conditions are reviewed.The strategy of patient-centered for acute appendicitis is recommended for the purpose of reducing patient suffering,saving medical resources and decreasing morbidity and mortality.