摘要
目的探讨超声在急性阑尾炎诊断及病理分型中的作用和意义。方法回顾2010年4月～2011年11月急诊就诊的急腹症患者168例，均进行手术治疗，比较术前超声检查诊断结果与术后病理检查结果的差异。结果单纯性阑尾炎超声诊断准确率为97．1％，化脓性阑尾炎准确率为95．2％，坏疽性阑尾炎准确率为100％，超声总的诊断准确率为97．1％；阑尾炎组的阑尾超声结果显示其阑尾直径、长度、管壁厚度均高于非阑尾炎急腹症患者（P〈O．01）。结论超声检查对急性阑尾炎诊断准确率很高，具有重要的诊断价值，应作为首选辅助诊断方法。
Objective To study the significance of ultrasound in acute appendicitis diagnosis and pathological typing.Methods A retrospective review of 168 cases of emergency patients with acute abdomen with operation in the years April 2010 ～ November 2011 was done with comparison between preoperative ultrasonography diagnosis results and postoperative pathological examination results.Results Simple appendicitis ultrasound diagnostic accuracy rate was 97.1%,suppurative appendicitis accuracy rate was 95.2%,gangrenous appendicitis ultrasound accuracy rate was 100%,the overall diagnostic accuracy rate was 97.1%.Appendiceal ultrasonography of appendicitis group shows that the appendiceal diameter, length,wall thickness were higher than that of nonacute-appendicitis patients（P 〈 0.01）.Conclusion Ultrasonography on acute appendicitis diagnosis accuracy rate is very high,which has important diagnostic value,and should be preferred as auxiliary diagnostic method.
出处
《中国血液流变学杂志》
CAS
2012年第2期361-363,共3页
Chinese Journal of Hemorheology
关键词
急性阑尾炎
超声诊断
病理检查
acute appendicitis
ultrasound
pathological examination
