摘要
目的 探讨提高老年急性阑尾炎诊断准确率和早期合理诊治的方法。方法 回顾总结本院 13 2例老年急性阑尾炎患者 ,并随机抽取 13 2例年龄 3 0岁～ 5 0岁急性阑尾炎患者为对照组 ,比较分析两组患者临床表现、诊断方法、手术时机及效果。结果 老年急性阑尾炎患者常因临床表现多样或伴发病而延误诊断 ,错失治疗的最佳时机 ,术后并发症明显增加 ,平均住院时间延长 ,与对照组比较均有统计学意义 ;60例老年急性阑尾炎患者进行了B超检查 ,其中 42例有阳性表现 ,准确率 70 % ,3 2例老年急性阑尾炎患者进行了非增强螺旋CT检查 ,2 8例呈阳性表现 ,诊断准确率 87%。结论 老年急性阑尾炎患者一旦明确诊断 ,应即行手术治疗 ,同时积极治疗伴发病。B超。
Objective:To discuss the method to improve the diagnosis and therapy of acute appendicitis in old patients.Methods:132 old patients with acute appendicitis and 132 30-50 years old controls were recruited into the study.Retrospective analysis was made on operation,manifestation,diagnosis and prognosis.Results:The diagnosis and operation were often delayed in old patients who were suffered from acute appendicitis,the complication and hospital stays were prolonged.60 old patients with acute appendicitis were studied by ultrasonography,42 were positive,diagnostic accuracy 70%.32 old patients with acute appendicitis were studied by noncontrast helical computed tomography,28 were positive,diagnostic accuracy 87%.Conclusion:Once the old patients were diagnosed acute appendicitis,they were advised to operate in time,at the meantime,the associated diseases should be treated,ultrasonography and noncontrast helical computed tomography is valuable in diagnosing acute appendicitis.
出处
《海南医学》
CAS
2003年第2期16-17,共2页
Hainan Medical Journal
关键词
急性阑尾炎
老年
诊断
治疗
B超
CT
Acute appendicitis old people Diagnosis and treatment Ultrasonography CT
