超声对急性阑尾炎的诊断价值

Diagnostic value of ultrasound in acute appendicitis

目的探讨阑尾炎的声像图特征及超声对阑尾炎的诊断价值。方法应用低频结合高频超声对142例急性阑尾炎患者进行检查,并将观察结果与手术结果对照。结果阑尾炎的超声诊断符合率为83.10%。142例中急性单纯性阑尾炎53例,占37.32%;急性化脓性阑尾炎71例,占50%;坏疽性阑尾炎13例,占9.15%;阑尾周围脓肿5例,占3.52%。结论超声检查尤其是高频超声对急性阑尾炎的诊断具有重要价值。

Objective To explore the value and sonogram characteristics of appendicitis. Methods The low-frequency and high frequency ultrasound were performed on 142 patients with acute appendicitis. The ultrasonic performances were compared with the observation results and operation. Results Ultrasound diagnostis rate of appendicitis was 83.10%. Among 142 cases, there were 53 cases with acute simple appendicitis （37.32%）, 71 cases with acute suppurative appendicitis （50%）, 13 cases with gangrenous appendicitis （9.15%） and 5 cases with periappendicular abscess （3.52%）. Conclusion High-frequency ultrasound has great value in the diagnosis of acute appendicitis.