摘要
目的:探讨超声检查在急性阑尾炎中的应用价值。方法:临床确诊并经手术证实的急性阑尾炎65例,术前均经超声检查。结果:65例病例中超声可明确诊断60例,符合率92%。根据超声影像特征可分为典型阑尾炎20例,非典型阑尾炎32例(包块型、肠管扩张型、积液型、气体多重反射型),另有5例患者超声无阳性发现(病理诊断为单纯性阑尾炎)。结论:超声检查作为一种无创、便捷的手段在阑尾炎的诊断中为临床诊断提供了客观的依据。
Objective:To discuss the application of ultrasound in acute appendicitis.Methods:65 cases of patients with acute appendicitis were clinical diagnosised and confirmed by operation,and preoperative all had ultrasonic examination.Results:In 65 cases,ultrasound can clarify a diagnosis of 60 cases,and the coincidence rate was 92% 。 According to the sonographic characteristics can be divided into 20 cases of typical appendicitis,32 cases of atypical appendicitis(mass,bowel dilatation type, fluid type,gas multiple reflection type). 5 cases of no positive found(pathological diagnosis of simple appendicitis).Conclusion: Ultrasonography is a noninvasive and convenient mean to provide an objective basis for clinical diagnosis in the diagnosis of appendicitis.
关键词
急腹症
急性阑尾炎
超声检查
Acute abdomen
Acute appendicitis
Ultrasonography
