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首页> 外文期刊>The Egyptian Journal of Hospital Medicine >A Comparative Study between Appendicitis Inflammatory Response Score and Alvarado Score in The Diagnosis of Acute Appendicitis
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A Comparative Study between Appendicitis Inflammatory Response Score and Alvarado Score in The Diagnosis of Acute Appendicitis

机译：阑尾炎炎症反应评分和Alvarado评分在急性阑尾炎诊断中的比较研究

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Background: appendicitis is defined as an inflammation of the inner lining of the vermiform appendix that spreads to its other parts. Despite diagnostic and therapeutic advancement in medicine, appendicitis remains a clinical emergency and is one of the most common causes of acute abdominal pain and one of the most frequent surgical complains in the emergency room. Aim of the Work: the aim of this work was to compare the Appendicitis Inflammatory Response Score to the traditional Alvarado score to determine which is more accurate in the diagnosis of acute appendicitis. Patients and Methods: this descriptive prospective study was carried on 50 patients admitted to the surgical ER of Rashid General Hospital from December 2017 to April 2018 complaining from right lower quadrant pain between the age of 5 years old and 70 years old. All 50 patients had lower quadrant abdominal pain with suspicion of having acute appendicitis, all of them were thoroughly examined and both Alvarado Score and Appendicitis Inflammatory Response Score were applied to all of them, patients with moderate to high probability of having appendicitis(Alvarado Score = 7 or higher, AIR = 8 or higher) underwent open appendectomy and then the resected appendices were sent for histopathology to confirm the diagnosis. Results: the total number of cases with confirmed diagnosis of acute appendicitis by means of post-operative histopathology in our study was 46 out of 50 patients, the AIR score had sensitivity of 95.65% while the Alvarado score had sensitivity of 91.3%. Conclusion: this study demonstrates that the Appendicitis Inflammatory Response Score (AIR) appears to be more accurate than the Alvarado score, easy-to-use and reliable when dealing with a case of right lower quadrant pain with the suspicion of acute appendicitis and can help reduce the negative appendectomy rate.
机译：背景：阑尾炎定义为蔓延至其其他部位的ver状阑尾内层的炎症。尽管在医学上有了诊断和治疗方面的进步，阑尾炎仍然是一种临床急症，并且是急性腹痛的最常见原因之一，也是急诊室中最常见的外科手术症状之一。工作目的：这项工作的目的是将阑尾炎的炎症反应评分与传统的Alvarado评分进行比较，以确定哪种方法在诊断急性阑尾炎方面更为准确。患者与方法：这项描述性前瞻性研究于2017年12月至2018年4月收治于拉希德总医院外科急诊室的50名患者，他们抱怨年龄在5岁至70岁之间，右下腹疼痛。所有50例患者均因怀疑患有急性阑尾炎而出现下腹象限性腹痛，对他们全部进行了彻底检查，并对所有患者均应用了Alvarado评分和阑尾炎炎症反应评分，其中有中度到高可能性发生阑尾炎的患者7或更高，AIR = 8或更高）进行了开放性阑尾切除术，然后将切除的阑尾送去进行组织病理学检查以确认诊断。结果：在我们的研究中，通过术后组织病理学确诊为急性阑尾炎的病例总数为50例中的46例，AIR评分的敏感性为95.65％，Alvarado评分的敏感性为91.3％。结论：这项研究表明，阑尾炎炎症反应评分（AIR）似乎比Alvarado评分更准确，易用且可靠，可用于怀疑患有急性阑尾炎的右下腹痛患者，并且可以提供帮助降低阴性阑尾切除率。

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