摘要
目的:分析超声间接征象对小儿急性阑尾炎诊断价值分析。方法:选择2018年3月-2020年3月本院收治疑似急性阑尾炎患儿90例,根据超声观察分为4组,阑尾正常显示为Ⅰ组;未见正常阑尾和任何间接征象为Ⅱ组;阑尾未见显示,但可见间接征象至少1个为Ⅲ组,典型阑尾炎可见为Ⅳ组。对超声结果以及最终临床结果进行比较。结果:本组病例有患儿49例实施手术治疗,Ⅰ组2例,剩余患儿47例为阳性组,经病理结果确诊41例(45.55%)为急性阑尾炎。超声诊断与病理结果,详见表1,超声诊断阑尾炎预测值,详见表2。Ⅰ组阴性预测值为93.33%,Ⅱ组阴性预测值为100%,Ⅲ组阳性预测值为80.95%,Ⅳ组阳性预测值为95.65%。此外,在手术病例中阑尾穿孔10例,穿孔率为24.39%,Ⅲ组穿孔6例(35.29%),Ⅳ组穿孔4例(18.18%),差异具统计学意义(P<0.05)。结论:超声间接征象在小儿急性阑尾炎诊断中具有重大意义,超声间接征象出现提示小儿右下腹阑尾区存在急性阑尾炎,与直接征象结合,能提升小儿急性阑尾炎诊断准确率,能为临床诊断和治疗提供有效依据,临床上值得推广使用。
Objective To analyze the diagnostic value of indirect ultrasound signs in children with acute appendicitis.Methods From March 2018 to March 2020,90 children with suspected acute appendicitis were treated in our hospital.They were divided into 4 groups according to ultrasound observation.The normal appendix was shown as groupⅠ;the normal appendix and no indirect signs were seen as groupⅡ;The appendix is not shown,but at least one of the indirect signs can be seen in groupⅢ,and typical appendicitis can be seen in group IV.While compared the ultrasound Results with final clinical Results of them.Results In this group,49 patients underwent surgical treatment,2 patients in group I,and 47 patients in the positive group.41 patients(45.55%)were diagnosed as acute appendicitis by pathological findings.For ultrasound diagnosis and pathological Results,see Table 1 for details,and ultrasound diagnosis for appendicitis,see Table 2 for details.The negative predictive value of groupⅠwas 93.33%,the negative predictive value of groupⅡwas 100%,the positive predictive value of groupⅢwas 80.95%,and the positive predictive value of groupⅣwas 95.65%.In addition,in the surgical cases,10 cases of appendix perforation,the perforation rate was 24.39%,6 cases in groupⅢ(35.29%),4 cases in group IV(18.18%),the difference was statistically significant(P<0.05).Conclusion Ultrasound indirect signs are of great significance in the diagnosis of acute appendicitis in children.The appearance of indirect ultrasound signs indicates the presence of acute appendicitis in the lower right abdominal appendix of children.Combined with direct signs,it can improve the accuracy of diagnosis of acute appendicitis in children and provide clinical diagnosis and treatment Effective basis,it is worthy of promotion and clinical use.
作者
张碧宏
史妙丽
李性希
梁平
黎见
张炯森
Zhang Bihong;Shi Miaoli;Li Xingxi;Liang Ping;Li Jian;Zhang Jiongsen(Department of Ultrasound,Boai Hospital of Zhongshan City,Zhongshan,Guangdong 528403,China)
出处
《影像研究与医学应用》
2020年第12期16-18,共3页
Journal of Imaging Research and Medical Applications
关键词
超声间接征象
小儿
急性阑尾炎
诊断价值
Indirect ultrasound signs
Children
Acute appendicitis
Diagnostic value
