Analysis Of Relateal Factors Of Recurreut Appenditics After Non-surgical Treatment Of Appendicitis In Patients In Patients With Appendceal Abscess

OBJECTIVE: This article will explore the success of non-surgical treatment of appendicitis in patients with appendiceal abscess,analysis of a variety of factors affect the recurrence of appendicitis,the relevance of a reasonable choice of treatment program to provide a reference basis.Methods: A retrospective collection of 357 patients with appendicular abscesses from January 2010 to June 2017 in the Second Hospital of Jiaxing City.And through the outpatient review,telephone return visits and compliance surgery and other forms of surgery to include or exclude the required case data;included in the project data criteria: 1.After a variety of clinical examination data(current history,symptoms and signs,laboratory Examination,imaging examination,postoperative pathology)The first diagnosis of appendix abscess;2.After initial non-surgical treatment(such as antibiotics,Chinese medicine,B-ultrasound,CT-guided puncture and drainage,etc.),according to the patient's symptoms,signs and combination The results of each examination need to achieve clinical cure;3.Follow-up to improve the relevant examination(such as colonoscopy,etc.),eliminate the risk of underlying diseases(cancer or Crohn's disease,etc.);4.No other serious diseases,does not affect its survival in the short term Period;5.Regular follow-up,there is relatively complete and reliable follow-up data.143 patients who met the inclusion criteria were retrospectively analyzed.Clinical admission data and follow-up information were included in the study group.The recurrence of appendiceal abscess after non-surgical treatment was the dependent variable.Factors that may influence patient recurrence: gender,age,merger Systemic diseases(hypertension,diabetes mellitus),C-reactive protein(CRP),white blood cells(WBC),tumor size as independent variables,t-test or chi-square test for single factor,screening for meaningful influencing factors,and then constructing Two-class Logistic regression models were used for multivariate analysis to further screen for independent factors that have implications for recurrence.RESULTS: 357 cases of appendiceal abscess patients were included in the study group of 143 cases,male patients 80 cases;female patients 63 cases,of which 28 cases of recurrence of appendicitis,which accounted for 19.5% of the total,28 cases of relapse after a return visit,the longest month 10 Months,the shortest about 5 weeks,an average of 3.8 months;the remaining non-surgical treatment so far,no signs of appendicitis recurrence of 115 patients,accounting for 80.5% of the total,the average follow-up time of 42.3 months,the longest have been 112 months,during follow-up No one died.Univariate analysis showed that there was no statistically significant difference between the patients' hypertension and age(P>0.05)in the impact of appendix recurrence;patients' sex,diabetes,C-reactive protein,appendiceal abscess size,white blood cell count(P< 0.05)These indicators are significantly different from patients with appendix recurrence and included in the Logistic regression model for multivariate analysis.The results showed that there are independent risk factors for recurrent appendicitis in patients with C-reactive protein,abscess size and White blood cell count(P < 0.05).Conclusion: C-reactive protein,white blood cell count,and tumor size were the factors that affected the recurrence of appendicitis after successful non-surgical treatment of appendiceal abscess.