[1]尹慧慧.B超检查在不同类型急性阑尾炎诊断中的应用价值[J].医学信息,2021,(24):178-180.[doi:10.3969/j.issn.1006-1959.2021.24.048]
 YIN Hui-hui.Application Value of B-ultrasound Examination in the Diagnosis of Different Types of Acute Appendicitis[J].Medical Information,2021,(24):178-180.[doi:10.3969/j.issn.1006-1959.2021.24.048]
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B超检查在不同类型急性阑尾炎诊断中的应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2021年24期
页码:
178-180
栏目:
诊疗技术
出版日期:
2021-12-15

文章信息/Info

Title:
Application Value of B-ultrasound Examination in the Diagnosis of Different Types of Acute Appendicitis
文章编号:
1006-1959(2021)24-0178-03
作者:
尹慧慧
(永新县中医院门诊超声科,江西 永新 343400)
Author(s):
YIN Hui-hui
(Department of Outpatient Ultrasound,Yongxin County Hospital of Traditional Chinese Medicine,Yongxin 343400,Jiangxi,China)
关键词:
B超急性阑尾炎超声征象病理诊断
Keywords:
B-ultrasoundAcute appendicitisUltrasonic signPathological diagnosis
分类号:
R656.8
DOI:
10.3969/j.issn.1006-1959.2021.24.048
文献标志码:
A
摘要:
目的 研究B超检查在不同类型急性阑尾炎诊断中的应用价值。方法 选取2017年1月-2019年12月在我院诊治的62例急性阑尾炎患者为研究对象,分析病理诊断结果,比较不同类型急性阑尾炎诊断准确率、误诊率、漏诊率,不同类型阑尾炎特征、不同类型阑尾影像学特征。结果 手术病理确诊62例急性阑尾炎患者中,单纯性阑尾炎18例,化脓性阑尾炎28例,坏疽性阑尾炎8例,阑尾周围脓肿8例;B超检查诊断率为87.10%;单纯性阑尾炎诊断准确率低于化脓性阑尾炎、坏疽性阑尾炎、阑尾周围脓肿(P<0.05),误诊率、漏诊率比较(P>0.05);单纯性阑尾炎、化脓性阑尾炎、坏疽性以及阑尾周围脓肿阑尾炎阑尾长度比较(P>0.05);化脓性阑尾炎、坏疽性阑尾炎、阑尾周围脓肿阑尾炎患者阑尾宽度、管壁厚度均大于单纯性阑尾炎患者(P<0.05);化脓性阑尾炎、坏疽性阑尾炎淋巴结肿大、腹腔积液、管腔扩张及管壁层次不清均高于单纯性阑尾炎、阑尾周围脓肿(P<0.05),管腔内强回声、不规则包块比较(P>0.05)。结论 B超检查在不同类型急性阑尾炎诊断中具有重要的价值,可明确不同类型急性阑尾炎超声征象特点,促进不同类型的有效鉴别,减小漏诊和误诊率。
Abstract:
Objective To study the application value of B-ultrasound in the diagnosis of different types of acute appendicitis.Methods A total of 62 patients with acute appendicitis who were treated in our hospital from January 2017 to December 2019 were selected as the research objects. The pathological diagnosis results were analyzed. The diagnostic accuracy, misdiagnosis rate, missed diagnosis rate, characteristics of different types of appendicitis and imaging characteristics of different types of appendix were compared.Results Among the 62 patients with acute appendicitis confirmed by surgery and pathology, 18 cases were simple appendicitis, 28 cases were suppurative appendicitis, 8 cases were gangrenous appendicitis, and 8 cases were periappendiceal abscess; the diagnostic rate of B-ultrasound was 87.10%. The diagnostic accuracy of simple appendicitis was lower than that of suppurative appendicitis, gangrenous appendicitis and periappendiceal abscess (P<0.05), there was no significant difference in misdiagnosis rate and missed diagnosis rate in simple appendicitis, suppurative appendicitis, gangrenous appendicitis, periappendiceal abscess (P>0.05). There was no significant difference in the length of appendix between simple appendicitis, suppurative appendicitis, gangrenous appendicitis and appendicitis with periappendiceal abscess (P>0.05). The width and wall thickness of appendix in patients with suppurative appendicitis, gangrenous appendicitis and periappendiceal abscess appendicitis were greater than those in patients with simple appendicitis (P<0.05). Lymphadenectasis, peritoneal effusion, lumen dilatation and wall unclearness of purulent appendicitis and gangrenous appendicitis were higher than those of simple appendicitis and periappendiceal abscess (P<0.05). There was no significant difference in the strong echo and irregular mass in the lumen of suppurative appendicitis, gangrenous appendicitis, simple appendicitis and periappendiceal abscess (P>0.05).Conclusion B-ultrasound examination has important value in the diagnosis of different types of acute appendicitis, which can clarify the characteristics of ultrasonic signs of different types of acute appendicitis, promote the effective identification of different types, reduce the rate of missed diagnosis and misdiagnosis.

参考文献/References:

[1]郑红,王东丽,闫瑞玲.阑尾黏液性肿瘤超声误诊分析[J].临床超声医学杂志,2019,21(7):555-556.[2]张蕾,姜金波.继发征象对小儿阑尾炎疑难病例超声诊断价值的研究[J].中国现代普通外科进展,2019,22(7):526-529.[3]江志文,高小萌,郑驰,等.多层螺旋CT联合超声对急性阑尾炎的诊断价值[J].实用放射学杂志,2019,35(3):400-402,421.[4]彭登远.高频超声联合Alvarado评分系统在急性阑尾炎患儿中的诊断价值[J].河南医学研究,2019,28(6):1098-1100.[5]许慧君,王光霞.高频超声对不同病理类型急性阑尾炎及并发症的诊断价值[J].中国中西医结合外科杂志,2019,25(2):145-150.[6]于航,熊颖.常规超声联合弹性成像诊断急性阑尾炎的可行性及实用价值[J].武汉大学学报(医学版),2019,40(1):97-100.[7]张立平,邢建华,汤代军.急性阑尾炎的超声诊断特征与病理对照研究[J].重庆医学,2018,47(2):262-264.[8]梁晓霞.超声直接征象联合间接征象对阑尾炎的诊断价值[J].山西医药杂志,2018,47(11):1272-1273.[9]夏磊.经腹部浅表超声在急性阑尾炎临床诊断中的价值[J].牡丹江医学院学报,2019,40(3):85-87.[10]吴文彬.腹部及浅表探头联合应用诊断急性阑尾炎的临床价值分析[J].中国处方药,2018,16(6):132-133.[11]武静,朱向明,张霞.腹部超声联合浅表超声对小儿肠套叠的诊断分析[J].皖南医学院学报,2017,36(6):595-597.[12]杜志勇,向正宗,乔云茂.不同阑尾切除术对急性阑尾炎患者炎症反应,血管粘附,胃肠功能及营养方面的影响[J].湖南师范大学学报:医学版,2020(2):4.[13]谢琼,李一冰,姬红丽.PAS联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断的临床价值[J].河北医科大学学报,2017,38(8):925-928.[14]解茗.急性阑尾炎的超声图像病理特征及临床诊断价值[J].河北医学,2016,22(12):1992-1995.[15]于辉,耿峰,宋焱,等.192例急性阑尾炎的超声诊断分析[J].皖南医学院学报,2016,35(3):276-278,282.[16]张宝娟,刘广禄,侯芳妮,等.彩色多普勒超声诊断不同病理类型小儿阑尾炎的价值分析[J].医学影像学杂志,2017,27(5):880-882.[17]刘新爱,王同明,任月勤.三种病理类型急性阑尾炎患者的临床体征及多层螺旋CT征象特点差异性分析[J].中国CT和MRI杂志,2017,15(8):37-39.[18]伍伟科,张又红.超声检查在不同病理类型阑尾炎诊断中的价值分析[J].中国当代医药,2018,25(3):85-87.[19]王小伟,姚根新,钱俊,等.超声检查在急性阑尾炎诊断中的应用价值研究[J].中华医院感染学杂志,2017,27(2):385-388.[20]胡峰.应用超声检查诊断不同类型阑尾炎的临床观察[J].影像研究与医学应用,2017,1(2):130-131.

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更新日期/Last Update: 1900-01-01