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The current management of acute uncomplicated appendicitis: should there be a change in paradigm? A systematic review of the literatures and analysis of treatment performance

机译:急性单纯性阑尾炎的当前管理:范式是否应该改变?对文献进行系统回顾并分析治疗效果

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摘要

IntroductionAppendectomy has long been the mainstay of intervention for acute appendicitis, aiming at preventing perforation, peritonitis, abscess formation and recurrence. With better understanding of the disease process, non-operative management (NOM) with antibiotics alone has been proved a feasible treatment for uncomplicated appendicitis. This article aimed at systematically reviewing the available literatures and discussing the question whether NOM should replace appendectomy as the standard first-line treatment for uncomplicated appendicitis.
机译:前言阑尾切除术一直是急性阑尾炎的主要干预手段,旨在预防穿孔,腹膜炎,脓肿的形成和复发。通过更好地了解疾病过程,已证明仅使用抗生素的非手术治疗(NOM)可治疗单纯性阑尾炎。本文旨在系统地回顾现有文献,并讨论NOM是否应代替阑尾切除术作为无并发症阑尾炎的标准一线治疗方法。

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