阑尾炎壁层结构改变的超声分析

Ultrasound Analysis of Structural Changes in Appendicitis Parietal

目的探讨阑尾壁层结构改变在急性阑尾炎超声的诊断中的临床意义。方法对术前做过阑尾超声检查并经手术证实73例急性阑尾炎病例超声像图进行回顾性分析,与手术结果相对照,分析阑尾壁层结构改变与阑尾炎之间的相互关系。结果 73例急性阑尾炎中阑尾黏膜下层增厚者63例,黏膜下层中断者3例、黏膜下层不清者46例、黏膜下层阴性者23例。结论阑尾壁层增厚、中断、层次模糊不清是急性阑尾炎超声征象之一,是阑尾受炎症浸润发生急性炎性反应的表现,阑尾黏膜下层结构中断提示阑尾坏疽病变可能,阑尾壁层结构在阑尾炎诊断中有着重要作用。

Objective To investigate the clinical significance of the appendiceal wall structure change（AWSC） in acute appendicitis ultrasound for the diagnosis.Methods Made a retrospective analysis to those who have made appendix ultrasound examination before operation and confirmed by surgical operation in 73 patients with acute appendicitis ultrasonography.Compared the operation result,analysis the relationship between appendiceal wall structure change and appendicitis.Results In all 73 patients with acute appendicitis,there are 63 patients with submucosal thickening,and 3 patients with submucosa interrupt,and 46 patients with unclear submucosa,and 23 patients with submucosa negative.Conclusion Appendiceal wall layer thickening,interrupting,levels of ambiguity is one of the indicia of acute appendicitis ultrasounds,and the acute inflammatory response performance of appendix by inflammatory infiltrates the occurrence,and appendix submucosa structure interrupt reflects the possibility of appendectomy gangrenous lesions.Appendiceal wall structure has played an important role in the diagnosis of appendicitis.