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彩超测定小儿阑尾管壁厚度对小儿急性阑尾炎的诊断价值 被引量:12

彩超测定小儿阑尾管壁厚度对小儿急性阑尾炎的诊断价值
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摘要 目的探讨彩超测定小儿阑尾管壁厚度对小儿急性阑尾炎(acuteappendicitis)的诊断价值。方法对1634例疑似阑尾炎患儿进行彩超检查,其中195例患儿彩超显示炎性阑尾声像(阑尾炎患儿),55例患儿彩超显示正常阑尾声像,189例阑尾炎患儿进行手术及病检。对急性阑尾炎患儿和正常阑尾的患儿进行分组,分别使用彩超测量阑尾管壁的厚度,得出小儿正常阑尾和炎性阑尾的管壁厚度,同时将55例正常阑尾显示的阑尾管壁厚度与随机抽取55例阑尾炎管壁厚度进行比较。结果急性阑尾炎患儿阑尾管壁厚度范围:(2.37±0.79)mm,小儿正常阑尾管壁厚度范围:(1.06±0.2)mm。结论阑尾炎手术患儿阑尾管壁厚度与正常阑尾管壁厚度的比较具有显著性差异(P=0.00)。笔者认为,小儿阑尾管壁的厚度可以作为小儿急性阑尾炎诊断的一项参考值。 Objective To study the determination of pediatric appendix thickness of the sufficiency of acute appendicitis pediatric acute appendicitis (acute appendicitis) the diagnostic value.Methods 1634 children were suspected appendicitis sufficiency check of patients,including 195 sufficiency display inflammatory appendix audio-visual(Appendicitis children),55 patients children color dopplar ultrasound shows normal appendix audio-visual,189 cases underwent surgery patients in our hospital from appendicitis and disease inspection.For acute appendicitis children and normal appendix children grouped and separately using color dopplar ultrasound measurement appendix wall thickness,draw the pediatric normal appendix and inflammatory appendix of wall thickness,and 55 patients with normal appendix will display the appendix wall thickness and randomly 55 cases appendicitis thickness of comparison.Results Acute appendicitis appendiceal wall thickness scope:children(2.37±0.79)mm,infantile appendiceal wall thickness normal range:1.06±0.2 mm.Conclusion Appendicitis surgical operation children with normal appendiceal wall thickness appendiceal wall thickness of comparison with significant difference (P=0.00).We think,pediatric appendiceal wall thickness can be used as a pediatric acute appendicitis diagnosis of a reference.
出处 《当代医学》 2011年第31期8-9,共2页 Contemporary Medicine
基金 郴州市第一人民医院资助科研项目(N2010-086)
关键词 彩超 小儿急性阑尾炎 阑尾 管壁 Color Doppler ultrasound Pediatric acute appendicitis Appendix Wall
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