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| 1 | 在孩子的正常和反常附录的 Ultrasonography显示文摘 Appendicitis is the most common acute surgical emergency of childhood. Since the original report by Puylaert in 1986, the use of ultrasonography in the diagnosis of appendicitis has been the subject of considerable study. Among the reported diagnostic criteria, the maximal outer diameter (MOD) of the appendix is accepted as the one of the most reliable criteria used to differentiate between a normal appendix and acute appendicitis. However, MOD measurement is subject to inaccuracies because luminal distention by non-compressible, non-inflammatory material such as fecal material, or increased maximal mural thickness due to reactive mucosal lym-phoid hyperplasia, or a medical cause due to a generalized gastrointestinal disease, such as Crohn’s disease, can cause the measurement to exceed the upper limits of normality. The aim of this article is to introduce the spectrum of ultrasonographic findings in the normal andabnormal appendix and eventually to reduce unneces-sary surgery in children. | Noh Hyuck Park Hwa Eun Oh Hee Jin Park Ji Yeon Park | 2011 | World Journal of Radiology2011，3，4： | 11 |
| 2 | 急性阑尾炎的间隔平淡的阑尾切除术追随者保守人士处理: 它确实被需要显示文摘 Conservative management of acute appendicitis (AA) is gradually being adopted as a valuable therapeutic choice in the treatment of selected patients with AA. This approach is based on the results of many recent studies indicating that it is a valuable and effective alternative to routine emergency appendectomy. Existing data do not support routine interval appendectomy following successful conservative management of AA; indeed, the risk of recurrence is low. Moreover, recurrences usually exhibit a milder clinical course compared to the first episode of AA. The role of routine interval appendectomy is also questioned recently, even in patients with AA complicated by plastron or localized abscess formation. Surgical judgment is required to avoid misdiagnosis when selecting a conservative approach in patients with a presumed 'appendiceal' mass. | George H Sakorafas Dimitrios Sabanis Christos Lappas Aikaterini Mastoraki John Papanikolaou Charalambos Siristatidis Vasileios Smyrniotis | 2012 | World Journal of Gastrointestinal Surgery2012，4，4： | 3 |
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