内镜逆行阑尾炎治疗术诊治急性阑尾炎的初步尝试

目的:探讨内镜逆行阑尾炎治疗术(endoscopic retrograde appendicitis therapy, ERAT)诊治急性阑尾炎的临床意义。方法:回顾性分析2018年1月至2019年9月复旦大学附属金山医院收治的30例行ERAT治疗的急性单纯性、化脓性、穿孔性阑尾炎和阑尾周围脓肿患者的临床资料。术后通过门诊或电话进行随访,分析ERAT治疗成功率、治疗后情况以及随访情况。结果:在30例急性阑尾炎患者中,ERAT成功治疗29例,成功率为96.7%(29/30)。此29例患者腹痛症状均即刻缓解。随访过程中,1例患者复发,复发率为3.4%(1/29)。结论:ERAT可有效、安全地治疗急性阑尾炎。

A preliminary study of endoscopic retrograde appendicitis therapy in diagnosis and treatment of acute appendicitis

Objective: To explore the clinical significance of diagnosis and treatment with endoscopic retrograde appendicitis therapy (ERAT) on acute appendicitis.Methods: The clinical data of 30 patients with acute simple, suppurative, perforated appendicitis or periappendiceal abscess admitted to Jinshan Hospital, Fudan University from January 2018 to September 2019 were retrospectively analyzed. Follow-up was performed using telephone interview combined with the outpatient examination. The success rate of ERAT treatment, postoperative and follow-up situation were collected and analyzed.Results: Of the 30 patients with acute appendicitis, 29 patients underwent ERAT successfully, the success rate was 96.7% (29/30). All the 29 patients experienced relief of pain immediately after ERAT treatment. During the follow-up period, 1 case had acute appendicitis recurrence after ERAT. The recurrence rate was 3.4% (1/29). Conclusions: ERAT can effectively and safely treat acute appendicitis.