Retrospective Analysis Of 562 Cases Which Diagnosed As Acute Appendicitis

ISTANBUL MEDICAL JOURNAL(2006)

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摘要
Background: In this study, we evaluated appendectomy operarted patients in our hospital retrospectively and aimed to present efficiency of diagnostic tests and demographic data of cases.Methods: Files of 562 patients (321 male, 241 female, male/female ratio: 1.3, age range: 6-75, mean age: 29), who had operared with diagnose of acute appendicitis in emergency department of our hospital in 2003, retrospectively evaluated.Results: Cases separated into three groups. Cases with histopathologic examination reported as acute appendicitis constituted group 1 (n: 469, % 83.4), and cases with pathologic findings other than acute appendicitis constituted group 2 (n: 11, % 1.9), and cases without any pathologic findings constituted group 3 (n: 82, % 14.5). There is statistically difference regarding leukocyte values between group 1 and other groups. Abdarninat ultrasonography was obtained in 93 cases. Sensitivity and specificity of ultrasonography for acute appendicitis was found as % 56.2, % 76.9 respectively.Discussion: Acute appendicitis is see n frequently in young male population. Negative laparotomy is comman in females at sexually active ages. In these cases, advanced imaging techniques and/or tests will improve diagnostic efficiency.
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关键词
Acute appendicitis, negative laparotomy, ultrasonography
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