摘要
目的探讨超声在急性阑尾炎临床诊断上的价值。方法选取2008年2月～2009年12月在本院门诊及住院治疗的经手术及病理证实的急性阑尾炎患者115例,并对该组患者手术前超声诊断,术后病理检查,比较超声及术后病理检查的结果,分析其声像图特征。结果 115例患者中,手术病理诊断急性单纯性阑尾炎36例,超声诊断33例,诊断符合率为91.67%,漏诊2例;手术病理诊断急性化脓性阑尾炎55例,超声诊断52例,诊断符合率为94.55%,漏诊3例;手术病理诊断急性坏疽性阑尾炎16例,超声诊断16例,诊断符合率为100%;手术病理诊断穿孔型阑尾炎6例,超声诊断5例,诊断符合率为83.33%,漏诊1例;手术病理诊断阑尾周围脓性2例,超声诊断2例,诊断符合率为100%。结论超声检查对急性阑尾炎具有明确诊断及鉴别诊断的价值,其声像图变与病理改变基本一致,适用于所有具有阑尾炎临床表现的患者,有利于临床医师治疗方案的选择。
Objective To discuss the value of the ultrasonography in the clinical diagnosis of acute appendicitis. Methods To selecte 115 cases of patients with acute appendicitis out-patient and in-patient treatment by surgery and pathology in our hospital from February 2008～ December 2009, and patients pre-operative ultrasound in the diagnosis, pathological examination, ultrasound and comparison Pathological examination of the results of analysis of their sonographic characteristics. Results 115 cases of patients, there were 36 cases with acute simple appendicitisto be diagnosed by surgical pathology , and 33 cases were diagnosed by ultrasonography, the diagnostic accuracy rate was 91.67,2 cases of missed diagnosis. There were 55 cases with acute suppurative appendicitis to be diagnosed by surgical pathology , and 52 cases were diagnosed by ultrasonography, the diagnostic accuracy rate was 94.55,3 cases of missed diagnosis;there were 16 cases with acute gangrenous appendicitis to be diagnosed by surgical pathology , and 16 cases were diagnosed by ultrasonography, the diagnostic accuracy rate was 100. there were 6 cases with acute appendicitis with perforated to be diagnosed by surgical pathology , and 5 cases were diagnosed by ultrasonography, the diagnostic accuracy rate was 83.33,1 cases of missed diagnosis. There were 2 cases with periappendiceal absces to be diagnosed by surgical pathology , and 2 cases were diagnosed by ultrasonography, the diagnostic accuracy rate was 100. Conclusion Ultrasonography in acute appendicitis has clear diagnosis and differential diagnosis value , its ultrasonographic changes are basically consistent with the pathological changes apply to all clinical manifestations of patients with appendicitis will help clinicians choose treatment programs.
作者
周平
ZHOU Ping （DaLang Hospital of Dongguan ,Dongguan 523770,China）
出处
《医学信息》
2010年第15期2907-2909,共3页
Journal of Medical Information
关键词
急性阑尾炎
超声检查
诊断
acute appendicitis
ultrasonography
Diagnosis
