超声对临床不典型阑尾炎的诊断价值

The clinical value of ultrasound on the diagnosis of atypical appendicitis

目的探讨高低频超声结合诊断症状不典型阑尾炎的临床应用价值。方法对102例经手术病理证实且临床症状体征不典型的阑尾炎进行声像图回顾性分析。结果 102例患者超声提示阑尾炎71例,阑尾黏液囊肿2例,阑尾穿孔4例,超声仅提示腹腔和(或)盆腔积液的5例,右下腹肠系膜淋巴结肿大4例,右下腹局部肠管扩张6例(伴肠间隙少量积液3例)。102例中,超声检查阳性92.2例,漏诊10例,超声检出率为90.2%。结论对临床症状体征不典型,疑似阑尾炎的患者,应用低频结合高频超声检查可提高肿大阑尾及其周边结构的显示率,从而显著提高诊断正确率。

Objective This study was undertaken to evaluate the value of high-frequency ultrasonography combined with abdominal ultrasound in the diagnosis of atypical appendicitis. Methods 1（72 patients with pathologically confirmed atypical clinical symptoms and signs of appendicitis were retrospectively analyzed on sonogram Results 102 patients 71 cases of appendicitis ultrasound tips, 2 cases of appendiceal nmcocele, 4 cases of perforated appendix, Only prompt abdominal ultrasound and （or） pelvic fluid in 5 cases , Right lower quadrant nxesenteric lymph nodes in 4 cases, Local expansion of right lower quadrant bowel （6 cases with a small amount of fluid in 3 cases of intestinal clearance） , 102 cases reported in 92 patients with positive ultrasound, and missed diagnosis in 10 cases, ultrasound detection rate of 90.2%. Conclusion On clinical symptoms and signs are not typical of patients with suspected appendicitis, Application of low frequency combined with high frequency ultrasound can increase the swelling of the appendix and the surrounding structures display rate, and thus significantly improve the diagnostic accuracy.