CAJ | 학술논문

目的：探讨红细胞分布宽度（RDW）与不同病理类型急性阑尾炎（AA）的相关性。方法按照病理类型将 AA 患者分为单纯性、化脓性以及坏疽性三种病理类型的 AA 患者，将这三组患者的 RDW 均值进行两两比较，并分别与对照组进行比较。分析三类 AA 患者的 RDW 值与白细胞（WBC）计数的相关性，应用 ROC 曲线分析 RDW 对于不同类型 AA 的诊断价值。结果单纯性和化脓性 AA 患者的 RDW 值与对照组比较差异有统计学意义（P ＜0．05），而与 WBC 计数无相关性（P ＞0．05）；坏疽性AA 的 RDW 值与对照组比较差异无统计学意义（P ＞0．05），而与 WBC 计数呈正相关（r＝0．646，P ＜0．05）。结论RDW 与单纯性和化脓性 AA 存在相关性，RDW 的降低可以对单纯性 AA 和化脓性 AA 的诊断提供参考，但尚不能作为单纯性 AA 和化脓性AA 诊断的指标。
목적：탐토홍세포분포관도（RDW）여불동병리류형급성란미염（AA）적상관성。방법안조병리류형장 AA 환자분위단순성、화농성이급배저성삼충병리류형적 AA 환자，장저삼조환자적 RDW 균치진행량량비교，병분별여대조조진행비교。분석삼류 AA 환자적 RDW 치여백세포（WBC）계수적상관성，응용 ROC 곡선분석 RDW 대우불동류형 AA 적진단개치。결과단순성화화농성 AA 환자적 RDW 치여대조조비교차이유통계학의의（P ＜0．05），이여 WBC 계수무상관성（P ＞0．05）；배저성AA 적 RDW 치여대조조비교차이무통계학의의（P ＞0．05），이여 WBC 계수정정상관（r＝0．646，P ＜0．05）。결론RDW 여단순성화화농성 AA 존재상관성，RDW 적강저가이대단순성 AA 화화농성 AA 적진단제공삼고，단상불능작위단순성 AA 화화농성AA 진단적지표。
Objective the purpose of this study is to investigate the correlation of RDW and different pathological types of acute appendicitis(AA).Methods According to the pathological classification,AA can be divided into pure,suppurative and gangrenous AA.The RDW values were compared among the 3 kinds of AA patients,and compared with control group.Correlation analysis were performed in patients with the 3 types of AA respectively.ROC was used to analyse RDW′s the diagnosic value for different types of AA.Results In patients with pure and suppurative AA,RDW values were statistically different from those in control group(P <0.05),and weren′t correlated with WBC count(P >0.05);while in patients with gangrenous AA,RDW values were not statistically different from those in control group,and were positively correlated with WBC count(r=0.646,P <0.05).Conclusion The decline RDW is correlated with simple and suppurative AA,and can provide some reference for the diagnosis of simple and suppurative AA,but not be used as diagnostic indicator because the sample quantity is not enough in the study.