대한대장항문학회

Acute appendicitis is one of the most common diseases which need to surgical<br>intervention. And it is one of the most perplexing diagnostic problems comfronting<br>physicians, often present with atypical finding that make accurate preoperative diagnostic<br>technique.<br>This is a prospective study on 240 patients admitted with right lower quadrant pain<br>and operated for suspected appendicitis at the Department of Surgery Chung-Ang<br>University Hospital from March 1, 1996 to February 28, 1997. Each case was divided<br>into two groups according to whether the pathologic diagnosis was appendicitis or<br>non-appendicitis.<br>And each group analysed by the clinical presentation of the physical findings and the<br>results of preoperative routine laboratory studies including leukocyte count and<br>urinalysis.<br>The result were as follows:<br>1) Over all of the diagnostic accuracy was found to be 75.8%.The negative<br>appendectomy rate in female was 31% compared to 18% in male, and that was<br>statistically significant.<br>2) Among negativeappendectomy cases, the number of female was always larger than<br>male in all age groups and this observation was statistically significant in second to<br>fourth decades.<br>3) Negative appendectomy rate of operated group after 72 hours from symptom<br>developed was 49% compared to 32% of operated group within 72 hours from symptom<br>developed, and that was statistically significant.<br>4) Statistical significant solitary affecting factor is leukocytosis, migration pain,<br>rebound tenderness and that these parameters were potmtially good indicators of acute<br>appendicitis, second to fourth decades female, the time frome symptom onset to<br>operation over 72 hours, and that these parameter were potentially indicators of<br>non-appendicitis.<br>