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首页> 外文期刊>Surgery today >Prompt or delayed appendectomy? Influence of timing of surgery for acute appendicitis.
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Prompt or delayed appendectomy? Influence of timing of surgery for acute appendicitis.

机译：及时或延迟阑尾切除术？手术时间对急性阑尾炎的影响。

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The aim of the study was to compare the clinical outcomes and histological findings in prompt and delayed appendectomy for acute appendicitis.All patients who underwent appendectomy for histologically confirmed acute appendicitis from 2003 to 2009 were included in this study. Patients were divided into three groups according to the time of surgery after hospital admission: The early appendectomy (EA) group underwent surgery within 12?h, the early-delayed appendectomy (EDA) group between 12 and 24?h and the delayed appendectomy (DA) group more than 24?h. The perioperative data and pathological state of the appendix were evaluated and compared.A total of 723 patients, with histologically confirmed acute appendicitis, were included in the study: There were 518 patients in the EA group, 140 patients in the EDA group and 65 patients in the DA group. The operative times were similar in each group. Postoperative complications occurred in 49 patients (6.8?%) and were significantly higher in the DA group in comparison to the EA group (p?=?0.0012) and EDA group (p?=?0.003). Two patients (3?%) in the DA group died. There were no differences in the length of the hospital stay. The gangrenous appendicitis rate was significantly higher in the DA group (p?
机译：本研究的目的是比较急性和阑尾切除术治疗急性阑尾炎的临床结果和组织学发现.2003年至2009年，所有经组织学证实为急性阑尾炎的患者均接受了阑尾切除术。根据入院后的手术时间将患者分为三组：早期阑尾切除术（EA）组在12小时内接受手术，早期延迟阑尾切除术（EDA）组在12至24小时之间进行手术，以及延迟阑尾切除术（ DA）组超过24？h。评价和比较阑尾围手术期的数据和病理状态。研究共纳入723例经组织学证实为急性阑尾炎的患者：EA组518例，EDA组140例，65例在DA组中。每组的手术时间相似。术后并发症发生在49例患者中（6.8％），与EA组（p = 0.0012）和EDA组（p = 0.003）相比，DA组明显更高。 DA组中有2例患者（3％）死亡。住院时间没有差异。与EA和EDA组相比，DA组的坏疽性阑尾炎发生率显着更高（p <0.05）。在就诊后24小时内进行阑尾切除术不会增加住院时间或并发症发生率。但是，发病后24小时后延迟阑尾切除术会增加并发症的发生率。

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