小儿急性阑尾炎治疗的研究进展  

Advances in treatment of acute appendicitis in children

作　　者：褚忆忆(综述) 刘江斌(审校)[1] Chu Yiyi;Liu Jiangbin(Department of General Surgery,Affiliated Children′s Hospital,Shanghai Jiao Tong University,Shanghai 200062,China)

机构地区：[1]上海交通大学附属儿童医院,上海市儿童医院普外科,200062

出　　处：《国际儿科学杂志》2020年第8期531-534,共4页International Journal of Pediatrics

摘　　要：急性阑尾炎是小儿外科最常见的急腹症之一。阑尾切除术是治疗小儿急性阑尾炎的标准方法且疗效确切。近年来,随着内镜技术的不断提高,腹腔镜阑尾切除术已成为主流手术。然而,随着研究的不断深入,根据疾病进展程度而行个体化治疗愈发引起人们的重视。与之相关出现新的问题亟待解决,手术时机、手术方式及术中处理的选择,阑尾脓肿的治疗及非手术治疗的意义等尚未形成共识。该文就小儿急性阑尾炎的治疗进展进行综述。Acute appendicitis is one of the most common acute abdominal diseases in pediatric surgery.Appendectomy is the standard of care for the treatment of acute appendicitis in children and its curative effect is definite.With the improvement of endoscopic techniques,laparoscopic appendectomy has become a mainstream operation in the recent years.However,individual therapy based on disease progression is attracting more and more attention,which has led to new questions.The management of these questions has not formed consensus at present,such as conclusion timing,operative methods,treatment of appendiceal abscess and effect of non-operative management.This review summarizes the treatment progress of acute appendicitis in children.

关 键 词：儿童 急性阑尾炎 阑尾切除术 非手术治疗 

分 类 号：R65[医药卫生—外科学]