【摘要】 急性阑尾炎(acute appendicitis，AA)是最常见的外科急腹症之一，具有起病快、病情进展迅速、易混淆、易误诊等特点。AA的诊断主要基于患者的临床症状、各种炎症指标及影像学检查结果，在临床实践中大多依赖影像学检查。腹腔镜阑尾切除术(laparoscopic appendectomy，LA)仍是目前AA首选的治疗方法。但随着内镜技术的不断发展，内镜下逆行阑尾炎治疗术(endoscopic retrograde appendicitis therapy，ERAT)作为一项创新技术，通过内镜下阑尾管腔冲洗、引流、扩张，在保留阑尾功能的基础上，急性非复杂性阑尾炎有效缓解，具有创伤小、恢复快、复发率低等优势，引起广大学者关注。目前在国内外已有较多应用。

    【关键词】 急性阑尾炎 内镜下逆行阑尾炎治疗术 诊断 治疗

    Progress in the Diagnosis and Treatment of Acute Appendicitis at Home and Abroad/WEN Yabing， NIE Zhanguo， LEI Ting， DENG Yundian， JIN Yingchun. //Medical Innovation of China， 2025， 22(06)： -174

    [Abstract] Acute appendicitis (AA) is a common surgical emergency with rapid onset and high risk of misdiagnosis. Diagnosis relies on clinical symptoms， inflammatory markers， and imaging， often with a focus on imaging studies. Laparoscopic appendectomy (LA) is the preferred treatment， however， with the continuous development of endoscopic technology， endoscopic retrograde appendicitis therapy (ERAT)， as an innovative technique， can effectively relieve acute uncomplicated appendicitis by flushing， draining， and dilating the appendiceal cavity under endoscopy while preserving the function of the appendix. This technique has the advantages of minimal invasiveness ......