摘要
目的探讨超声检查在以右下腹痛为首发症状的疑似急性阑尾炎患者诊断中的应用价值。方法收集65例以右下腹痛为首发症状疑似急性阑尾炎患者的临床资料,回顾性分析其超声声像图特征。结果 65例患者中,超声诊断符合率为86.0%(56/65)。51例超声诊断的患者经手术及病理检查证实,5例超声检查疑诊急性阑尾炎患者经过抗炎对照治疗后症状缓解至消失而确诊。60例手术及病理检查诊断:急性化脓性阑尾炎29例,急性单纯性阑尾炎16例,坏疽穿孔性阑尾炎7例,阑尾周围脓肿3例,右侧卵巢囊肿蒂扭转2例,右侧卵巢黄体破裂2例,右肾积水及右侧输尿管下段结石1例。结论超声诊断阑尾炎的基础是阑尾肿胀、体积增大及由此引发的一系列病理改变;超声诊断阑尾炎时需与其他引起右下腹痛的疾病进行鉴别。
Objective To discuss the application value of ultrasound in diagnosis of suspected acute appendicitis with right lower abdominal pain as initial symptom.Methods The clinical data （sonography） of 65 patients suspected of acute appendicitis with right lower abdominal pain as initial symptom were analyzed retrospectively.Results In 65 patients,the accordance rate of ultrasound diagnosis was 86.0% （56/65）.Fifty-one were confirmed by operations or pathological examination,5 suspected of acute appendicitis by sonography received anti-inflammatory therapy,and symptoms improved and disappeared,and thus diagnosed.In 60 patients,surgeries and pathological examinations showed that 29 had acute suppurative appendicitis,16 acute simple,7 gangrenous and perforated,3 periappendiceal avscess,2 torsion of pedicle of right ovarian cyst,2 rupture of corpus luteum,1 hydronephrosis and lower ureteral stones on the right.Conclusion Ultrasound findings may be the vital and important tool on diagnosis of the right lower abdominal pain disease,which means indispensable.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第23期2657-2658,共2页
Chinese General Practice
关键词
超声检查
多普勒
腹痛
阑尾炎
诊断
Ultrasonography
Doppler
Abdominal pain
Appendicitis
Diagnosis
