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二维超声诊断急性阑尾炎的临床价值

Clinical Value of Two-dimensional Ultrasonography in Diagnosing Acute Appendicitis
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摘要 目的探讨二维超声诊断急性阑尾炎的临床价值。方法回顾性分析经手术病理证实为急性阑尾炎患者150例,应用超声诊断仪探查下腹或全腹。发现异常低回声包块,测量其大小,观察其周围回声和内部回声以及盆腹腔积液情况。总结分析其声像图特点。结果声像图显示阑尾增粗,直径>6 mm,阑尾壁增厚≥2 mm,黏膜毛糙,回声中断或缺失等征象。超声诊断符合率86%。结论二维超声诊断急性阑尾炎具有重要价值。 Objective To assess the clinical value of two-dimensional ultrasonography(2DUS) in diagnosing acute appendicitis. Methods By pathological diagnosis after operation, it proved that 150 patients suffered from acute appendicitis. For these patients, the writers detected the lower or the whole abdomen of the patients with ultrasonography and found low level echo region and measured the volumes of phyma. In the meanwhile abdominal free fluid was observed. Results Analyzing the characteristics of these echos, the writers found that the appendix became thick with the diameter 〉 6 mm, the appendiceal wall thickness ≥ 2 mm and the mucous membrane became coarse with echo interrupted or absent. The accuracy diagnosis rate was 86 %. Conclusion 2DUS has the high value for the diagnosis of acute appendicitis.
出处 《河南职工医学院学报》 2006年第3期186-188,共3页 Journal of Henan Medical College For Staff and Workers
关键词 急性阑尾炎 超声诊断 acute appendicitis ultrasonography
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