阑尾扭转的研究进展

Research advances of appendiceal torsion

慢性腹痛是一种儿童常见的腹痛综合征,多种病因均可引起,以阑尾疾病居多,其中阑尾扭转较罕见。阑尾扭转是阑尾本身及其系膜围绕阑尾纵轴垂直方向旋转造成的阑尾管腔梗阻及系膜血运障碍,临床上易误诊为急性阑尾炎或阑尾蛔虫、粪石梗阻等。因小儿解剖特点等原因导致儿童较易发生,阑尾扭转可引起患儿突发腹痛且阵发性加剧。患儿间歇期正常,急性期如未手术治疗,可导致慢性阵发性腹痛的发生,影响患儿正常的生活和学习。本文通过复习文献对儿童慢性腹痛中较罕见的阑尾扭转的研究作一综述。

Chronic abdominal pain, a common syndrome in children, may be caused by a variety of etiologies. Though relatively rare, appendiceal torsion is the rotation of appendix itself. As its mesangium becomes twisted vertically along its longitudinal axis, there are obstructions of appendicular lumen and mesenteric blood circulation. Most cases might be misdiagnosed as acute appendicitis, appendicular roundworm or fecal obstruction. Children are more susceptible due to anatomical characteristics. Sudden abdominal pains occur with paroxysmal aggravation while intermission period is normal. If non-treated surgically during acute phase, chronic paroxysmal abdominal pain affects normal life and study. This literature review summarizes the latest researches on chronic abdominal pain and appendiceal torsion.