青少年阑尾炎高危因素及防治策略

杨 盼1, 张 远新1, 奎 晓芳1, 胡 祥1, 胡 开武1, 朱洪 银*2
1、武警云南总队医院急诊医学科
2、云南省第一人民医院重症医学科

摘要


青少年阑尾炎作为一种常见急腹症，对青少年的健康有很大威胁。本研究旨在深入了解青少年阑尾炎的流行病学特征，揭示其高危因素，并提出有效的防治策略。研究发现，青少年阑尾炎的发病率在特定年龄段呈现高峰，且存在性别差异。系统梳理文献，明确其临床表现、诊断与治疗要点。此外，我们还探讨了饮食习惯、免疫力、生长发育等因素可能对青少年阑尾炎发病的影响，揭示了这些因素在疾病发生中的潜在作用机制。在防治策略方面，我们强调了健康教育的重要性，提倡均衡饮食和规律生活习惯以降低发病风险。同时，针对青少年特殊的生理发育阶段，我们建议优化诊断流程，减少不必要的医疗干预，确保早期发现和及时治疗。此外，我们还提出了对疑似阑尾炎患者的个体化管理方案，以提高治疗效果并降低并发症的发生率。综上所述，本研究通过综合流行病学研究、危险因素分析和防治策略探讨，为青少年阑尾炎的预防和管理提供了科学依据。进一步的临床实践和研究应关注青少年这一特殊群体，以期降低阑尾炎的发病率，保障青少年的健康。

关键词


阑尾炎；青少年健康；高危因素；流行病学；防治策略

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参考


[1]Hanna HH, Abd EKF, Abd EIM, et al. Different recent scoring systems for better diagnosis of acute appendicitis[J]. QJM: An International Journal of Medicine, 2024, 117(1): i93.

[2]Kazuya Takabatake; Tsutomu Imanishi; Tetsuji Yoshikawa. Acute eosinophilic appendicitis simulating uncomplicated appendicitis[J]. BMJ Case Reports, 2018, 11.

[3]Caty MG,Grisotti G. Appendicitis[M]//Holcomb GW, Murphy JP, Ostlie DJ. Ashcraft’s Pediatric Surgery.6th ed. Elsevier Inc,2021:50.

[4]Körner H, Søndenaa K, Søreide JA, et al. Incidence of acute nonperforated and perforated appendicitis: age-specific and sex-specific analysis[J]. World Journal of Surgery,1997, 21(3): 313-317.

[5]Buckius MT, McGrath B, Monk J, et al. Changing epidemiology of acute appendicitis in the United States: study period 1993-2008[J]. Journal of Surgical Research, 2012, 175(2):185-190.

[6]Kiasat A, Ekström LD, Marsk R, et al. Childhood appendicitis and future risk of inflammatory bowel disease - a nationwide cohort study in Sweden 1973-2017[J]. Colorectal Disease,2022, 24(8):1.

[7]Hsu YJ, Fu YW, Chin T. Seasonal variations in the occurrence of acute appendicitis and their relationship with the presence of fecaliths in children[J]. BMC Pediatrics, 2019, 19(1): 1-8.

[8]Arai T, Miyata G, Usuda M, et al. Seasonal variations in the incidence of acute appendicitis[J]. Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 2018, (1): 1-7.

[9]张丹园，李革.儿童急性阑尾炎的诊疗进展[J].中国现代医生，2025，63（29）：118-121.

[10]张祝林，颜学举，王艳萍，等.阑尾炎发病时间的调查及相关因素分析（附323例报告）[J].腹部外科，2008，21（6）：382-382.

[11]Kulvatunyou N, Zimmerman SA, Joseph B, et al. Risk factors for perforated appendicitis in the acute care surgery era—minimizing the patient’s delayed presentation factor[J]. Journal of Surgical Research: Clinical and Laboratory Investigation, 2019, 238: 113-118.

[12]Ni X-B, Jia C, Yu H-D, et al. Comprehensive analysis of interleukin-8 gene polymorphisms and periodontitis susceptibility[J]. Oncotarget, 2017, 8(30): 48996-49004.

[13]Andersson RE, Hugander AP, Ghazi SH. Why does the clinical diagnosis fail in suspected appendicitis?[J]. The European Journal of Surgery = Acta Chirurgica, 2000, 166(10): 796-802.

[14]梁仲惠，梅永红.肠道菌群失调与消化系疾病[J].华南国防医学杂志，2005，19（003）：37-40.

[15]Delgado-Miguel C, Muñoz-Serrano AJ, Delfa SB, et al. Neutrophil-to-lymphocyte ratio as a predictor of peritonitis in acute appendicitis in children[J]. Cirugía Pediátrica: Órgano Oficial de la Sociedad Española de Cirugía Pediátrica, 2019, 32(4): 185-189.

[16]Poortman P, Oostvogel HJM, Bosma E, et al. Improving diagnosis of acute appendicitis: results of a diagnostic pathway with standard use of ultrasonography followed by selective use of CT[J]. Journal of the American College of Surgeons, 2009, 208(3): 434-441.

[17]Kooij IA, Sahami S, Meijer SL, et al. The immunology of the vermiform appendix: a review of the literature[J]. Clinical and Experimental Immunology, 2016, 186(1): 1-9.

[18]Vitetta L, Chen JZ, Clarke S. The vermiform appendix: an immunological organ sustaining a microbiome inoculum[J]. Clinical Science (London, England: 1979), 2019, 133(1): 1-8.

[19]Liu BR, Song JT, Han FY, et al. Endoscopic retrograde appendicitis therapy: a pilot minimally invasive technique (with videos)[J]. Gastrointestinal Endoscopy, 2012, 76(4): 862-866.

[20]Caruso AM, Pane A, Garau R, et al. Acute appendicitis in children: not only surgical treatment[J]. Journal of Pediatric Surgery, 2017, 52(3): 444-448.


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