B超在急性阑尾炎诊断中的应用价值

Applied Value of B-Ultrasound in Diagnosis of Acute Appendicitis

目的:探讨超声对急性阑尾炎诊断的准确性及其价值。方法:对152例经超声检查确诊的急性阑尾炎患者的临床资料进行回顾性分析。结果:超声检查对于急性阑尾炎的诊断率大于77%,并且能帮助临床医生对其他一些类似急性阑尾炎的疾病作出鉴别,B超对化脓性阑尾炎及阑尾周围脓肿的诊断率明显高于单纯性阑尾炎和坏疽性阑尾炎,并且发病大于1 d的患者诊断准确率明显高于小于1 d组。结论:超声对急性阑尾炎的确诊率较高,值得选用。

Objective：To explore the diagnostic accuracy and its value of B-mode ultrasound in diagnosis ot acute appendicitis. Methods：The clinical data of all 152 patients diagnosed as acute appendicitis by B-mode ultrasound were retrospectively analyzed. Results： Diagnosis rate of B-mode ultrasound for acute appendicitis was above 77 %. B-mode ultrasound could help clinical doctors to detect other diseases that were similar in symptoms to acute appendicitis. Diagnosis rate of B-mode ultrasound for purulent appendicitis and periappendicular abscess is obviously greater than simple appendicitis and gangrene appendicitis. And the diagnostic accuracy rate of the patients whose morbidity was more than one day was apparently greater than that whose morbidity was less than one day. Conclusion： Ultrasound is of higher confirmed diagnosis rate for acute appendicitis and it is well worth selecting.