摘要
目的:探讨超声在急性阑尾炎诊断中的图像特征及其应用。方法:采用PHILIPS HD11和PHILIPS HDI4000彩色多普勒超声诊断仪,对79例临床可疑阑尾炎患者均行右下腹纵横斜切面超声扫查,发现右下腹异常回声,观察内部和周边情况,测量其范围,对其声像图特征进行分析总结;79例患者经行外科手术,术后标本做病理检查。结果:在本组79例患者中,33例急性单纯性阑尾炎,18例急性化脓性阑尾炎,9例急性坏疽穿孔性阑尾炎,10例阑尾周围脓肿,9例慢性阑尾炎急性发作。其中39例阑尾腔有粪石。结论:急性阑尾炎的超声诊断有较高的准确率,能为临床诊断急性阑尾炎及指导其治疗提供可靠的影像学依据。
Objective： To explore the image characteristics and application of ultrasound in the diagnosis of acute appendicitis. Methods： PHILIPS HD11 and PHILIPS HDI 4000 color Doppler ultrasound diagnostic instruments were used.All 79 cases of clinically suspected appendicitis underwent ultrasonic scanning of the right lower abdomen,Found abnormal echo of the right lower abdomen was found; the internal and peripheral conditions were observed,its range was measured. The characteristics of its sound image were analyzed and summarized; All 79 cases underwent surgery; The postoperative specimens were examined by pathologically. Results： Among the 79 patients,there were a total of 33 cases of acute simple appendicitis,18 cases of acute suppurative appendicitis,9 cases of acute gangrenous perforated appendicitis,10 cases of periappendiceal abscess,9 cases of acute appendicitis with chronic appendicitis. Of these,39 cases of appendix had fecal stones. Conclusion： The ultrasonic diagnosis of acute appendicitis has high accuracy. It can provide reliable imaging evidence for clinical diagnosis of acute appendicitis and guide its treatment.
作者
黄诗进
罗利萍
朱蔷
古柳冬
刘典永
HUANG Shi-jin;LUO Li-ping;ZHU Qiang;GU Liu-dong;LIU Dian-yong(The Third People＇s Hospital of Meizhou City,Meizhou,Guandong 514000)
出处
《赣南医学院学报》
2018年第5期486-488,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
超声
阑尾炎
诊断
ultrasound
appendicitis
diagnose
