摘要
目的分析总结急性阑尾炎的声像图特点及误漏诊原因,以提高临床急性阑尾炎的超声诊断率。方法对手术病理证实的145例急性阑尾炎患者的(超声检查)声像图及临床资料进行回顾性分析。结果 145例急性阑尾炎患者均经手术病理证实,超声根据阑尾炎直接征象并明确诊断者108例,根据间接征象提示阑尾炎可能性大18例,声像图无异常表现(即漏诊)19例。结论超声对急性阑尾炎诊断具有重要的临床价值,是临床阑尾炎的首选检查方法;仔细观察阑尾炎时的超声直接征象和间接征象,有助于超声检查阑尾炎诊断率的提高。
Objective To summarize ultrasonographic features of acute appendicitis,analyze the reasons of missed diagnosis and misdiagnosis so as to improve the ultrasonic diagnosis rate of clinical acute appendicitis.Methods 145 cases of pathologically confirmed patients with acute appendicitis were chosen,whose ultrasonograms and clinical data were retrospectively analyzed.Results All the 145 cases of acute appendicitis patients were confirmed by surgery and pathology,of which 108 were confirmed by ultrasound according to direct signs of appendicitis,18 suggested possibility of appendicitis according to indirect signs,and 19 showed no abnormal ultrasonograms,resulting in misdiagnosis.Conclusion Ultrasound has important clinical value for diagnosis of acute appendicitis.It is the first choice for the clinical detection.Carefully observing the direct and indirect ultrasonic signs contributes a great deal to improving the ultrasonic diagnosis rate of acute appendicitis.
出处
《淮海医药》
CAS
2013年第5期394-396,共3页
Journal of Huaihai Medicine
关键词
阑尾炎
急性病
超声检查
直接及间接征象
诊断
鉴别
Ultrasonography
Acute appendicitis
Direct and indirect signs
Missed diagnosis and misdiagnosis
