关键词: 急性阑尾炎, 诊断性影像, 复杂性急性阑尾炎, 阑尾脓肿, 孕期阑尾炎, 复发性阑尾炎

Abstract: Diagnosis and treatment strategy of acute appendicitis               LI Shi-kuan. Department of Emergency General Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
Abstract    Acute appendicitis is one of the most common general surgical emergencies. Accordingly, appendectomy is one of the most frequently performed surgical procedures. The nearly confirmed diagnosis can be made, and type of pathology can be estimated through diagnostic imaging techniques, such as ultrasound, CT and MRI, combined with clinical manifestations and laboratory tests. Hence, delayed diagnosis or misdiagnosis may be avoided or reduced effectively; complicated acute appendicitis may be identified or stratified. By that means, decision-making strategy of surgical or conservative intervention is recommended. Furthermore, the diagnosis and treatment of appendiceal abscess, appendicitis during pregnancy, recurrent appendicitis and other conditions are reviewed. The strategy of patient-centered for acute appendicitis is recommended for the purpose of reducing patient suffering, saving medical resources and decreasing morbidity and mortality.

Key words: acute appendicitis, diagnostic imaging, complicated acute appendicitis, appendiceal abscess, appendicitis during pregnancy, recurrent appendicitis