血吸虫性阑尾炎超声检查与临床特点

The u1trasonography and clinical characteristics of schistosomal appendicitis

目的：探讨血吸虫性阑尾炎的超声检查价值与临床特点。方法：回顾性分析41例经病理诊断证实的血吸虫性阑尾炎超声征象及其对应的临床特点,并与80例非血吸虫性阑尾炎进行比较。结果：血吸虫性阑尾炎患者年龄高于非血吸虫性阑尾炎患者（P〈0.01）;血吸虫性阑尾炎患者癌变率、穿孔率与化脓率均高于非血吸虫性阑尾炎患者（P〈0.01）;血吸虫性阑尾炎患者超声检查直接及间接征象均较非血吸虫性阑尾炎患者丰富（P〈0.05~P〈0.01）。结论：超声检查与相应的临床特点相结合,对血吸虫性阑尾炎的诊断及治疗有帮助,将有利于患者的手术及预后。

Objective： To explore the ultrasonography value and clinical characteristics of schistosomal appendicitis. Methods： The clinical features and ultrasonographic signs in 41 schistosomal appendicitis cases diagnosed by pathology were retrospectively analyzed, whose were compared with 80 non-schistosomal appendicitis cases. Results ：The age of schistosomal appendicitis patient was higher than that in non-schistosomal appendicitis patients （ P 〈 0. 05 ）. The canceration, perforation and suppuration rates in schistosomal appendicitis patients were higher than those in non-schistosomal appendicitis patients （ P 〈 0. 01 ）. The direct and indirect ultrasonographic signs in schistosomal appendicitis patients were more plentiful than those in non-schistosomal appendicitis patients （P 〈0. 05 to P 〈 0. O1 ）. Conclusions： The combination of ultrasonography and clinical characteristics can help the diagnosis and treatment of schistosomal appendicitis, which is beneficial to the operation and prognosis of patients.