成人非复杂性急性阑尾炎治疗进展

Progress in the Treatment of Uncomplicated Acute Appendicitis in Adults

摘要: 急性阑尾炎是由阑尾腔阻塞(主要包括淋巴结增生和粪石阻塞)后继发感染形成的疾病。近年来，随着相关随机对照试验的开展以及对阑尾炎治疗方式的不断探索，急性阑尾炎的治疗方式取得了一定的进展。阑尾切除术能够从根源切除病灶并杜绝阑尾肿瘤的发生，但术后并发症较多。单用抗生素治疗能明显缩短住院时间，减少并发症并且成本较低，但有一定的失败率及较高的复发率。内镜逆行阑尾炎治疗属于微创手术，与阑尾切除术一样能立即缓解腹痛，有着极高的治疗成功率，极低的复发率及并发症发生率。在此，我们将对非复杂性急性阑尾炎的治疗方式进行介绍与讨论，以期为临床决策提供一定的参考。

Abstract: Acute appendicitis is a disease caused by secondary infection after obstruction of the appendiceal cavity, mainly including lymph node hyperplasia and obstruction of the fecalith. In recent years, with the development of relevant randomized controlled trials and the continuous exploration of the treatment of appendicitis, the treatment of acute appendicitis has made some progress. Ap-pendectomy can remove the lesions from the root and prevent the occurrence of appendiceal tu-mors, but there are many postoperative complications. Antibiotic therapy alone can significantly shorten the length of hospital stay, reduce complications and cost less, but it has a certain failure rate and a high recurrence rate. Endoscopic retrograde appendicitis treatment is a minimally inva-sive surgery, which can relieve abdominal pain immediately as appendectomy. It has a high success rate of treatment and a very low recurrence rate and complication rate. In this article, we will in-troduce and discuss the treatment of uncomplicated acute appendicitis, in order to provide some reference for clinical decision-making.