评价Alvarado评分在部落地区急性阑尾炎诊断中的意义

R. Kulkarni
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引用次数: 1

摘要

背景:急性阑尾炎是一种常见的外科急症,即使有现代诊断设备,对外科医生来说仍然是一项具有挑战性的任务。即使是经验丰富的外科医生也会对表现形式的变化感到困惑。通过查阅文献,我们发现阑尾切除阴性率一直被提及。因此,我们对Alvarado评分在部落地区急性阑尾炎诊断中的意义进行了以下研究。这是一种旧的标准评分系统,非常经济,无创,并且在部落地区进行了重新验证以达到诊断。材料与方法:对180例部落地区急性阑尾炎患者进行研究,发现Alvarado评分对急性阑尾炎的诊断和治疗具有较高的参考价值。研究时间为2018年8月至2020年1月。结果:180例患者行阑尾切除术。其中腹腔镜手术33例(18.33%)。对所有阑尾切除标本进行了宏观和显微观察。所有的标本都被切开进行病理检查。结论:Alvarado评分是一种经济、无创的临床评分系统,在部落地区急性阑尾炎的诊断和治疗中具有较高的应用价值。
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Evaluation of the significance of Alvarado score in the diagnosis of acute appendicitis in tribal area
Background: Acute Appendicitis is a common surgical emergency which even with modern diagnostic facilities remains a challenging task for the surgeon. The variation in the presentation can confuse even experienced surgeons. On looking at the literature, it was found that a negative Appendicectomy rate has been consistently mentioned Aim- The following study was therefore conducted for Evaluation Of Significance Of Alvarado Score In Diagnosis Of Acute Appendicitis In Tribal Area. This is an old standard scoring system, very economical, noninvasive, and revalidation was done in the tribal area to reach the diagnosis. Material and Methods: A Study of 180 patients of acute appendicitis was conducted in tribal areas and Alvarado score carries high significant value in diagnosis and management of acute appendicitis. The period to study was from August 2018 to January 2020. Result: 180 patients were subjected to Appendicectomy. Out of the 33 were operated by laparoscopy (18.33%). All the Appendicectomy specimens were studies macroscopically and microscopically. All the specimens were cut open and inspected for pathology. Conclusion: The present study concludes that the Alvarado score, an economical, noninvasive clinical scoring system, carries high significant value in the diagnosis and management of acute appendicitis in the tribal area.
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