中国急性阑尾炎2017年诊疗状况分析  

Status of diagnosis and management of acute appendicitis in 2017: a national multi-center retrospective study

作　　者：吴婕 徐新建[2] 徐皓[3] 马刚[4] 马驰[5] 朱孝成 任泽强 吴旭东 陈英杰 翁延宏 胡立平 陈飞 蒋勇敢 刘宏斌 王明 杨振华[14] 余雄[15] 李良[16] 张钦增 姚志刚[18] 李为[19] 苗建军 杨鲤光 曹辉[22] 陈帆 吴建军[24] 王仕琛 曾冬竹 张军[27] 何永庆[28] 曹建良[29] 周文星 蒋志龙[31] 张东明[32] 朱建伟[33] 岳文明[34] 张永玺 侯俊岭[36] 钟飞 王军炜[38] 蔡昶[39] 李宏燕[40] 廖卫顺 张海洋[42] 召日格图 刘秦杰 王之伟 陈灿文 任建安 Wu Jie;Xu Xinjian;Xu Hao;Ma Gang;Ma Chi;Zhu Xiaocheng;Ren Zeqiang;Wu Xudong;Chen Yingjie;Weng Yanhong;Hu Liping;Chen Fei;Jiang Yonggan;Liu Hongbin;Wang Ming;Yang Zhenhua;Yu Xiong;Li Liang;Zhang Xinzeng;Yao Zhigang;Li Wei;Miao Jianjun;Yang Liguang;Cao Hui;Chen Fan;Wu Jianjun;Wang Shichen;Zeng Dongzhu;Zhang Jun;He Yongqing;Cao Jianliang;Zhou Wenxing;Jiang Zhilong;Zhang Dongming;Zhu Jianwei;Yue Wenming;Zhang Yongxi;Hou Junling;Zhong Fei;Wang Junwei;Cai Chang;Li Hongyan;Liao Weishun;Zhang Haiyang;Zhaori Getu;Liu Qinjie;Wang Zhiwei;Chen Canwen;Ren Jianan(Department of General Surgery,Medical School of Nanjing University,Jinling Hospital,Jiangsu Nanfing 210002,China;Department of General Surgery,Xuyi People's Hospital,Jiangsu Xuyi 211700,China;Department of General Surgery,Jiangbei People's Hospital,Jiangsu Nanjing 210048,China;Department of General Surgery,The 940th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Gansu Lanzhou 730050, China;Department of Gastrointestinal Surgery,Heze Municipal Hospital,Shandong Heze 274031, China;Department of General Surgery,The First College of Clinical Medical Science,China Three Gorges University,Hubei Yichang 443003,China;Department of General Surgery,the Affiliated Jiujiang Hospital of Nanehang University,Jiangxi Jiufiang 332000,China;Department of General Surgery,The Second People's Hospital of Hefei,Anhui Hefei 230011,China;Department of General Surgery, Affiliated Shandong Energy Zaozhuang Mining Group Central Hospital,Shandong Zaozhuang 277011, China;Department of General Surgery,The Third People's Hospital of Kunshan City,Jiangsu Kunshan 215316,China;Department of General Surgery,Xuzhou First People's Hospital,Jiangsu Xuzhou 221002,China;Department of General Surgery,The First Affiliated Hospital of Xinjiang Medical University,Xinjiang Urumuqi 830054,China;Department of General Surgery,The 81st Group Army Hospital of the Chinese People's Liberation Army,Hebei Zhangfiakou 075000,China;Department of General Surgery,Linyi Central Hospital,

机构地区：[1]解放军东部战区总医院普通外科,南京210002 [10]江苏省盱眙县人民医院普通外科,211700 [11]南京市江北人民医院普通外科,210048 [12]解放军联勤保障部队第九四0医院普通外科,兰州730050 [13]山东省菏泽市立医院胃肠外科,274031 [14]"湖北宜昌市中心人民医院普通外科,443003 [15]江西省九江市第一人民医院普通外科,332000 [16]合肥市第二人民医院普通外科,230011 [17]山东省枣庄矿业集团中心医院普通外科,277011 [18]江苏省昆山市第三人民医院普通外科,215316 [19]江苏省徐州市第一人民医院普通外科,221002 [2]新疆医科大学第一附属医院普通外科,乌鲁木齐830054 [20]解放军陆军第八十一集团军医院普通外科,河北省张家口075000 [21]山东省临沂市中心医院普通外科,276400 [22]安徽省淮南东方医院集团总医院普通外科,232001 [23]解放军联勤保障部队第九O八医院普通外科,南昌330002 [24]甜江苏省溧阳市人民医院普通外科,213300 [25]巧解放军联勤保障部队第九0一医院普通外科,合肥,230031 [26]重庆医科大学附属第三医院消化疾病中心,401120 [27]吉林大学第四医院普通外科,长春130011 [28]哈尔滨市阿城区人民医院普通外科,150300 [29]郑州大学第一附属医院急诊外科,450052 [3]安徽省六安市人民医院普通外科,237005 [30]南京市六合区人民医院普通外科,211500 [31]江苏省泰兴市人民医院普通外科,225400 [32]内蒙古自治区包头市中心医院普通外科,014040 [33]江苏省南通大学附属医院胃肠外科,226001 [34]山东省临沂市人民医院普通外科,276003 [35]解放军陆军第七十二集团军医院普通外科,杭州313000 [36]山东省枣庄市立医院胃肠外科,277101 [37]江西省大余县人民医院普通外科,341500 [38]江苏省泰兴市中医院普通外科,225400 [39]安徽省宿州市立医院普通外科,234000 [4]山东省滕州市中心人民医院胃肠外科,277500 [40]中国中医科学

出　　处：《中华胃肠外科杂志》2019年第1期49-58,共10页Chinese Journal of Gastrointestinal Surgery

基　　金：江苏省社会发展重点项目(BE2016752);军事医学创新工程(16CXZ007).

摘　　要：目的分析当前中国急性阑尾炎的诊疗现状。方法采用问卷调查形式,回顾性收集全国43家医疗中心(按提供病例量排序:解放军东部战区总医院、新疆医科大学第一附属医院、安徽省六安市人民医院、山东省滕州市中心人民医院、辽宁省大连市中心医院、江苏省徐州医科大学附属医院、山东省东营市人民医院、福建省晋江市中医院、安徽省黄山首康医院、江苏省盱眙县人民医院、南京江北人民医院、解放军联勤保障部队第九四〇医院、山东省菏泽市立医院、湖北宜昌市中心人民医院、江西省九江市第一人民医院、合肥市第二人民医院、山东省枣庄矿业集团中心医院、江苏省昆山市第三人民医院、江苏省徐州市第一人民医院、解放军陆军第八十一集团军医院、山东省临沂市中心医院、安徽省淮南东方医院集团总医院、解放军联勤保障部队第九〇八医院、江苏省溧阳市人民医院、解放军联勤保障部队第九〇一医院、重庆医科大学附属第三医院、吉林大学第四医院、黑龙江省阿城区人民医院、郑州大学第一附属医院、南京市六合区人民医院、江苏省泰兴市人民医院、内蒙古自治区包头市中心医院、江苏省南通大学附属医院、山东省临沂市人民医院、解放军陆军第七十二集团军医院、山东省枣庄市立医院、江西省大余县人民医院、江苏省泰兴市中医院、安徽省宿州市立医院、北京中国中医科学院广安门医院、安徽省郎溪县中医院、河南省南阳市中心医院、内蒙古医科大学附属人民医院)2017年全年急性阑尾炎住院治疗病例资料,通过统一汇总,对急性阑尾炎的诊断及治疗情况进行分析。结果共纳入43家医疗中心8766例急性阑尾炎患者的病历资料,其中男性4711例(53.7%),中位年龄39岁,65岁以上患者958例(10.9%)。有5677例(64.6%)接受1项及以上影像学检查,而有Objective To analyze the current status of diagnosis and management of acute appendicitis(AA)in China.Methods Questionnaire survey was used to retrospectively collect data of hospitalized patients with AA from 43 medical centers nationwide in 2017(Sort by number of cases provided: Jinling Hospital of Medical School of Nanjing University,The First Affiliated Hospital of Xinjiang Medical University,Lu'an People's Hospital,Tengzhou Central People's Hospital,Dalian Central Hospital,The Affiliated Hospital of Xuzhou Medical University,Dongying People's Hospital,Jinjiang Hospital of Traditional Chinese Medicine,Huangshan Shoukang Hospital,Xuyi People's Hospital,Nanjing Jiangbei People's Hospital,Lanzhou 940th Hospital of PLA,Heze Municipal Hospital,The First College of Clinical Medical Science of China Three Gorges University,Affiliated Jiujiang Hospital of Nanchang University,The Second People's Hospital of Hefei,Affiliated Central Hospital of Shandong Zaozhuang Mining Group,The Third People's Hospital of Kunshan City,Xuzhou First People's Hospital,The 81st Group Army Hospital of PLA,Linyi Central Hospital,The General Hospital of Huainan Eastern Hospital Group,The 908th Hospital of PLA,Liyang People's Hospital,The 901th Hospital of Joint Logistic Support Force,The Third Affiliated Hospital of Chongqing Medical University,The Fourth Hospital of Jilin University,Harbin Acheng District People's Hospital,The First Affiliated Hospital of Zhengzhou University,Nanjing Luhe People's Hospital,Taixing Municipal People's Hospital,Baotou Central Hospital,The Affiliated Hospital of Nantong University,Linyi People's Hospital,The 72st Group Army Hospital of PLA,Zaozhuang Municipal Hospital,People's Hospital of Dayu County,Taixing City Hospital of Traditional Chinese Medicine,Suzhou Municipal Hospital,Beijing Guang'anmen Hospital,Langxi County Hospital of Traditional Chinese Medicine,Nanyang Central Hospital,The Affiliated People's Hospital of Inner Mongolia Medical University).The diagnosis and management of AA were analyzed through

关 键 词：急性阑尾炎 阑尾切除术 保守治疗 预后 

分 类 号：R656.8[医药卫生—外科学]