超声在急性阑尾炎诊断中的应用价值

Application of Ultrasound Imaging for Diagnosis of Acute Appendicitis

目的：探讨联合应用高低频超声诊断急性阑尾炎的价值。方法：回顾性分析经手术证实为急性阑尾炎的127例患者的高低频超声声像图特征。结果：127例患者中：急性单纯性阑尾炎41例，超声检出36例，占87．8％；化脓性阑尾炎53例，超声检出50例，占94．3％；坏疽性阑尾炎24例，超声检出21例，占87．5％；阑尾周围脓肿9例，超声检出8例，占88．9％。结论：联合应用高低频超声能提高急性阑尾的诊断准确率，并初步对阑尾炎进行分型，为临床首选的影像学检查。

Objective To study the clinical value of applying low jointly high frequency ultrasonic imaging for the diagnosis of acute appendicitis. Methods 127 patients were confirmed by operation and pathology, the sonographic features were investigated and analysed. Resuits In all the patients, the diagnostic concordance rate was 87.8% in simple acuie appendicitis, 94.3% in purulent acute appendicitis, 87.5 % in necrotic acute appendicitis, and 88.9 in periappendicular abscess,The total diagnostic concordance rate was 90.5 %. Conclusions The diagnostic concordance rate of acute appendicitis could be improved with low jointly High frequency ultrasonography, and acute appendicitis can be divided into four types Primarily , so low jointly High frequency ultrasonography may be the first choice for diagnosis of acute appendidtis.