摘要
Objective: Understand the different clinical signs of patients who had an appendectomy. Methods: Retrospective review of medical records. Data on blood tests, pathologic reports and admission details were collected. Comparisons were made between patients with appendicitis vs. a normal appendix and those with a perforated vs. non-perforated appendix. Results: The diagnostic accuracy rate for appendicitis was 85.8% in 908 cases. The mean age of the patients was 34.1 years old. The perforation rate was 36.5% and the complication rate was 3.5%. The sensitivity of a diagnosis of appendicitis reached 80% when the marker of a white blood cell (WBC) count over 13000/uL or neutrophil percentage over 88% was used in patients with right lower quadrant pain. C-reactive protein values were higher in the perforated than the non-perforated group. Patients older than 60 years had a higher perforated rate. Conclusions: Although the WBC count and neutrophil percentage were good appendicitis markers, a complete history and detailed physical examination are essential. Image study may be necessary to help diagnose appendicitis correctly.
並列摘要
Objective: Understand the different clinical signs of patients who had an appendectomy. Methods: Retrospective review of medical records. Data on blood tests, pathologic reports and admission details were collected. Comparisons were made between patients with appendicitis vs. a normal appendix and those with a perforated vs. non-perforated appendix. Results: The diagnostic accuracy rate for appendicitis was 85.8% in 908 cases. The mean age of the patients was 34.1 years old. The perforation rate was 36.5% and the complication rate was 3.5%. The sensitivity of a diagnosis of appendicitis reached 80% when the marker of a white blood cell (WBC) count over 13000/uL or neutrophil percentage over 88% was used in patients with right lower quadrant pain. C-reactive protein values were higher in the perforated than the non-perforated group. Patients older than 60 years had a higher perforated rate. Conclusions: Although the WBC count and neutrophil percentage were good appendicitis markers, a complete history and detailed physical examination are essential. Image study may be necessary to help diagnose appendicitis correctly.
延伸閱讀
- 戴研光、王鐘貴、陳寶輝、陳定堯（1991）。1211例闌尾切除術之病理分析。中華民國消化系醫學會雜誌，8(1)，13-17。https://doi.org/10.6557/GJTa.199103_8(1).0003
- Chen, B. H., Liu, H. W., Huang, S. L., Lin, F. C., Dai, M. G., Hsieh, S. L., Chen, Y. L., & Huang, T. J. (2000). 急性闌尾炎切除術論病例計酬前後其醫療花費及臨床結果之比較. The Kaohsiung Journal of Medical Sciences, 16(6), 293-298. https://doi.org/10.6452/KJMS.200006.0293
- Chiu, C. C., Huang, M. T., Wei, P. L., Chen, T. C., Lee, W. J., Lee, Y. C., & Wang, W. (2006). 腹腔鏡闌尾切除手術標本取出之技巧：1,544位病人之經驗. 南臺灣醫學雜誌, 2(1), 7-11. https://doi.org/10.6726/MJST.200612_2(1).0002
- Hsieh, W. Y., Lin, C. Y., & Kuo, H. T. (2005). 闌尾切除術後的肺部感染：一罕見病例報告及文獻回顧. 胸腔醫學, 20(4), 341-346. https://doi.org/10.29806/TM.200508.0014
- （2007）。Appendix。僑務統計年報，()，161-181。https://doi.org/10.29942/SYOCAC.200709.0008