摘要
目的研究B超在疑似急性阑尾炎诊断中的价值。方法随机连续抽取200例疑似急性阑尾炎病人术前行B超检查,进而经手术治疗及病理检查,并比较B超检查结果和临床诊断结果之间的关系。结果B超诊断与病人性别之间没有显著性差异;B超诊断出急性阑尾炎141例,漏诊42例,误诊5例;其阳性率为77.0%,特异性96.6%,假阳性率2.7%和假阴性率23.0%。结论疑似急性阑尾炎病人术前应行B超检查,可提高术前诊断急性阑尾炎的准确性。
Objective： To explore the value of B-uhrasonographic diagnosis in suspiciously acute appendicitis. Methods： On the basis of clinical findings, 200 consencutive patients with clinical suspicion of acute appendicitis were referred to an B-ultrasonographic examination of the appendix and abdomen,then operation and histologic examination, finally compared the B-uhrasonographic diagnosis with clinical diagnosis. Results： there was no statistical difference between B-uhrasono graphic diagnosis and patient＇s sex. B ultrasonographic examinations were noted in 141 of 200 patients（77. 0%）, false negative 42 of 200 patients （21. 0%）, false positive 5 of 200 patiems （2. 7%） and specificity 96.6%. Conclusion：To improve the diagnostic accuracy of acute appendicitis, B-uhrasonography should be used in suspiciously acute appendicitis preoperatively.
出处
《实用临床医学（江西）》
CAS
2005年第8期123-124,共2页
Practical Clinical Medicine
关键词
B超
急性阑尾炎
诊断
B-ultrasonography
acute appendicitis diagnosis
