摘要
目的观察并探讨尿常规检验诊断小儿急性阑尾炎的临床价值。方法方便选取2019年1月—2020年1月间在该院儿科进行治疗的54例急性阑尾炎患儿为对象,对所有患儿分别实施常规超声诊断(对照组,54例)和尿常规检验(研究组,54例),分析两组诊断结果,探究两种检查方式对于不同阑尾炎的检出有效性。结果研究组检测准确率、特异度、敏感度分别为90.74%、96.30%、92.59%,对照组检测准确率、特异度、敏感度分别为66.67%、75.93%、74.07%,组间差异有统计学意义(P<0.05);研究组检出单纯性阑尾炎36例、坏疽穿孔性阑尾炎4例、化脓性阑尾炎9例,检出率为90.74%,对照组检出单纯性阑尾炎28例、坏疽穿孔性阑尾炎2例、化脓性阑尾炎6例,检出率为66.67%,差异有统计学意义(χ^(2)=10.239,P=0.001)。结论相较于常规超声诊断,对小儿急性阑尾炎实施尿常规检验能够有效提升疾病检出率,降低误诊、漏诊概率,帮助医师尽早确定病情并予以针对性治疗方案的制定,提升治疗有效率。
Objective To observe and discuss the clinical value of routine urine tests in the diagnosis of acute appendicitis in children.Methods Conveniently selected 54 children with acute appendicitis who were treated in the pediatrics department of the hospital from January 2019 to January 2020 were taken as subjects.All children were subjected to routine ultrasound diagnosis(control group,54 cases)and urine routine examination(research group,54 cases),analyze the diagnosis results of the two groups,and explore the effectiveness of the two inspection methods in detecting different appendicitis.Results The detection accuracy,specificity,and sensitivity of the study group were 90.74%,96.30%,and 92.59%,respectively.The detection accuracy,specificity,and sensitivity of the control group were 66.67%,75.93%,and 74.07%,the difference between groups was statistically significant(P<0.05);36 cases of simple appendicitis,4 cases of gangrene perforated appendicitis,9 cases of suppurative appendicitis were detected in the study group,the detection rate was 90.74%,and the control group detected 28 cases of simple appendicitis and gangrene perforation 2 cases of appendicitis and 6 cases of suppurative appendicitis,the detection rate was 66.67%,the difference was statistically significant(χ^(2)=10.239,P=0.001).Conclusion Compared with conventional ultrasound diagnosis,routine urine testing for children with acute appendicitis can effectively increase the detection rate of the disease,reduce the probability of misdiagnosis and missed diagnosis,help doctors determine the condition as soon as possible and formulate targeted treatment plans,and improve the treatment efficiency.
作者
徐静
XU Jing(Department of Laboratory Medicine,Rongcheng Hospital of Traditional Chinese Medicine,Rongcheng,Shandong Province,264399 China)
出处
《中外医疗》
2021年第18期182-184,共3页
China & Foreign Medical Treatment
关键词
尿常规检验
小儿急性阑尾炎
诊断价值
Urine routine examination
Acute appendicitis in children
Diagnostic value
