不同超声显像小儿阑尾炎治疗结果分析

Different therapeutic results of pediatric appendicitis diagnosed by ultrasonic imaging

目的分析不同超声显像小儿阑尾炎的治疗结果。方法将我院收治的121例小儿急性阑尾炎患儿按照超声检查结果分为阳性组77例和阴性组44例组,分析临床特点及治疗结果。结果学龄前及学龄期(<12岁)患儿中超声阳性组和阴性组阑尾炎保守治疗有效率分别为3.8%和34.5%,(P<0.01);青春期(≥12岁)患儿中超声阳性组和阴性组分别为4%和60.0%,(P<0.01)。性别和发病年龄对超声诊断率的影响差异无统计学意义(P>0.05)。结论术前无创超声检查可以做为诊断小儿阑尾炎常规辅助检查手段,同时也对手术或保守治疗提示参考。诊断评估结合超声影像学检查结果可以帮助提高临床小儿阑尾炎保守治疗率及降低阴性阑尾切除率。

Objective To analyze different therapeutic results of pediatric appendicitis diagnosed by ultrasonic imaging. Methods 121 cases of acute appendicitis in infants and children diagnosed by ultrasonic inspection in our hospital were randomly assigned to the positive group（77 cases）and the negative group（44 cases）.The clinical features and therapeutic results were retrospectively analyzed. Results In children at preschool or school age（12 years）,the rate of conservative treatment in the ultrasound positive group was significantly lower than that in the ultrasound negative group（3.8% vs 34.5%,P 0.01）.In adolescents（≥12 years）,the rate of conservative treatment in ultrasound positive group was significantly lower than that in the ultrasound negative group（4% vs 60.0%,P 0.01）.In addition,there was no significant difference between the effect of sex and age on ultrasonic diagnosis（P 0.05）. Conclusions Preoperative noninvasive ultrasound diagnosis can be used as the conventional diagnosis for pediatric appendicitis,and provide indications for surgeries or conservative treatments.The combination of clinic assessment and ultrasound imaging results can increase the rate of conservative treatment and reduce the rate of negative appendectomy.