Comparison of conservative treatment with appendectomy for acute uncomplicated pediatric appendicitis: a meta-analysis

被引：7
|
作者：
Bi, Le-wee [1 ]
Yan, Bei-lei [1 ]
Yang, Qian-yu [1 ]
Cui, Hua-lei [2 ]
机构：
[1] Tianjin Med Univ, Dept Grad Sch, Tianjin, Peoples R China
[2] Tianjin Childrens Hosp, Dept Gen Surg, Tianjin, Peoples R China
来源：
JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH | 2019年 / 8卷 / 10期
关键词：
appendectomy; conservative treatment; fecaliths; meta-analysis; pediatric appendicitis; NONOPERATIVE MANAGEMENT; ANTIBIOTIC-THERAPY; NEGATIVE APPENDECTOMY; PERFORATED APPENDICITIS; OPERATIVE TREATMENT; CLAVULANIC-ACID; OPEN-LABEL; CHILDREN; MULTICENTER; OUTCOMES;
D O I：
10.2217/cer-2019-0036
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Aim: We aimed to compare conservative treatment with surgery for uncomplicated pediatric appendicitis to estimate effectiveness and safety. Methods: Data recorded until September 2018 were searched, and relevant academic articles from PubMed, EMBASE, the Cochrane Library and other libraries were selected. STATA version 13.0 (Stata Corporation, TX, USA) was used for statistical analysis. Results: We identified nine eligible papers. The study reported a significant difference in the success rate of treatment in 1 month and in 1 year, and no difference in the incidence of complications. The patients with fecaliths showed low treatment efficacy in conservative treatment group (p < 0.05). Conclusion: Standardized conservative treatment as inpatients for pediatric appendicitis is safe and feasible. Appendectomy was the better choice for patients with fecaliths.
引用
收藏
页码：767 / 780
页数：14
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