摘要
目的研究联用高、低频彩色多普勒超声检查在急性阑尾炎诊断中的应用价值。方法对2008年7月至2011年10月在海南省第二人民医院就诊的189例阑尾炎患者行高、低频彩色多普勒超声检查的声像图特征进行分析,并与术后的病理诊断进行对照,使用超声测定阑尾的横径和壁厚。结果超声诊断与病理诊断总体符合率为89.42%;急性单纯性阑尾炎的横径和壁厚均明显小于急性化脓性阑尾炎和急性坏疽性阑尾炎,差异具有统计学意义(P<0.05);急性坏疽性阑尾炎的阑尾横径和壁厚均明显高于急性化脓性阑尾炎,差异具有统计学意义(P<0.05)。结论联合使用高频和低频超声进行检查,能提高急性阑尾炎诊断正确率,为临床诊断提供参考依据。
Objective To investigate the diagnostic value of high frequency combined low frequency color Doppler ultrasonography for acute appendicitis. Methods One hundred and eighty-nine cases of acute appendicitis from the Second People＇s Hospital of Hainan Province from Jul. 2008 to Oct. 2010 examined with high frequency combined low frequency color Doppler uhrasonography features were analyzed;the ultra- sonography diagnosis was compared with postoperative pathological diagnosis;the appendix transverse diame- ter and wall thickness were determined with ultrasonography examination. Results The total coincidence rate between ultrasonography diagnosis and pathologic diagnosis was 89.42% ; transverse diameter anti wall thickness of the acute simple appendicitis were smaller than the acute purulent appendicitis and acute gangre- nous appendicitis,with statistically significant differences （P 〈 0.05 ）; the transverse diameter and wall thickness of the acute gangreneus appendicitis appendix were higher than those in ac, ute purulent appendicitis shape, with statistically significant differences（ P 〈 0.05 ）. Conclusion The use of high frequency combined low frequency uhrasonography examination in diagnosis of acute appendicitis can improve the accuracy,so as to previde reference for the clinical diagni^sis.
出处
《医学综述》
2013年第11期2106-2107,共2页
Medical Recapitulate
关键词
急性阑尾炎
超声
诊断
Acute appendicitis
Ultrasonography
Diagnosis
