急性阑尾炎超声特征与病理分型的对比研究

Comparison of ultrasonic charateristics and pathologic type with acute appendiotis

目的研究超声图像特征对急性阑尾炎临床分型的意义。方法回顾分析57例术后病理证实为急性阑尾炎与术前超声图像特征进行对比研究。结果二维超声对急性阑尾炎肿大阑尾的长宽径测值,对阑尾的临床分型没有特异性,而其他图像特征,如阑尾的回声、阑尾壁的层次结构显示情况、阑尾腔内积液情况及与周围组织的关系、邻近肠腔积液情况等,对急性阑尾炎的不同类型、病程的不同时期作出正确诊断。结论超声对急性阑尾炎不同类型及病程进展的诊断有重要临床价值。

Objective To investigate the significance of ultrasonic charateristics on clinical classification in patients with acute appendicitis. Methods Retrospective analysis was used to compare ultrasonic charateristics before operation and pathologic type after operation in 57 patients with acute appendicitis. Results Swelling appendix＇s major diameter and transverse diameter measured in 2D echo had no specific relation to clinical classification of acute appendicitis. Other ultrasonic characteristics such as appendiceal echo, display of hierarchical structure of appendiceal wall,appendiceal effusion and its relation to peripheral tissue as well as adjacent enteric effusion were important as to the correct diagnosis of clinical type and stage during the course. Conclusion Ultrasonography was of important clinical value as to the diagnosis of different type and progression of acute appendicitis.