摘要
目的探讨高频超声在小儿急性阑尾炎临床诊断中的应用。方法详细询问患者病史,患者检查时采用高频探头以右下腹麦氏点为中心多方位多切面探查,找到最明显压痛处后,适当加压探头,推开肠气,使阑尾显示清晰。对阑尾的形态大小,轮廓以及内部回声进行检查。最后,对阑尾进行彩色多普勒显像及血流动力学参数测量。结果经过术后病理证实,60例患者中急性单纯性阑尾炎共27例,急性化脓性阑尾炎共25例,阑尾周围脓肿共8例,超声诊断符合率较高,超声诊断结果为急性单纯性阑尾炎共25例,急性化脓性阑尾炎共23例,阑尾周围脓肿共7例。超声检测平均符合率达到91%。结论高频超声可以作为小儿急性阑尾炎诊断的方法,对于小儿急性阑尾炎的临床诊断具有重要的价值和意义。
Objective To investigate the application of high-frequency ultrasound in the diagnosis of acute appendicitis in children. Methods All patients were asked in detail about the history, when examined with high frequency probe center comprehensive ultrasound in right lower quadrant McBurney point, find the most obvious tenderness place, suitable pressure probe, open the gas, so that the appendix shows clear. The size and shape of the appendix, shape and internal echo check. Finally, color Doppler imaging and hemodynamic parameters measurement of appendix. Results After postoperative pathology, 60 cases of acute appendicitis in 27 cases, a total of 25 cases of acute suppurative appendicitis, appendiceal abscess in 8 cases, in line with the higher rate of ultrasound diagnosis. Conclusion High frequency ultrasound can be used as a method for diagnosis of acute appendicitis in children, it is of great value and significance for the clinical diagnosis of acute appendicitis in children.
出处
《中国医药科学》
2013年第7期134-135,170,共3页
China Medicine And Pharmacy
关键词
急性阑尾炎
小儿
高频超声
诊断
Acute appendicitis
Children
High frequency ultrasound
Diagnosis
