延迟阑尾切除时间对急性阑尾炎病情的影响

Influence of delaying appendectomy on severity of acute appendicitis

目的观察手术延迟时间和延迟就诊时间对急性阑尾炎病情的影响。方法410例在我院行急性阑尾炎手术患者分别按手术延迟时间、延迟就诊时间进行分组，选择相关临床因素。结果手术延迟时间〈12h组和12—24h组相比，各指标间差异无统计学意义（P〉0．05）；随延迟就诊时间延长，术后一出院时间、穿孔发生率、脓肿形成率、并发症发生率明显增高（P〈0．05）。结论延迟就诊时间影响急性阑尾炎的病情发展，而适当延迟住院后阑尾切除时间不影响急性阑尾炎的病情及预后。

Objective To observe the influence of delaying appendectomy on severity of acute appendicitis. Methods Based on in - hospital delay and pre - hospital delay, patients who underwent an appendectomy were grouped and the related clinical factors were noted. Results There were no significant differences in the indexes we noted between patients who had a delay for 12 -24 h for their surgeries and those who had a delay 〈 12 h （P 〉0.05）. The postoperative hospital stay, incidence of perfo- ration, abscess formation rate, and complication rate were significantly higher with longer of pre - hospital delay （P 〈 0.05）. Conclusion Pre - hospital delay affects the severity of acute appendicitis, but in - hospital delay does not.