尿常规检验在小儿急性阑尾炎中的价值

The Value of Routine Urine Test in Children with Acute Appendicitis

目的探讨尿常规检验在小儿急性阑尾炎诊断中的价值。方法选取2012年12月—2015年12月在长春市儿童医院收治的急性阑尾炎患儿286例,按照住院时间的顺序分为两组,对照组143例给予超声检查,观察组143例给予尿常规检测,所有患儿均以手术病理结果作为诊断依据,将两组患儿的检查结果进行比较。结果观察组准确率为96.5%,误诊率为3.5%,对照组准确率为83.2%,误诊率为16.8%,两组患儿相比差异有统计学意义(P<0.05)。结论尿常规检验可以明显提高小儿急性阑尾炎诊断的准确率,减少误诊率,值得在临床上推广应用。

Objective To explore the value of routine urine test in the diagnosis of acute appendicitis in children.Methods Selected December 2012 to December 2015 in Changchun children's Hospital of acute appendicitis in children with 286 cases, according to hospitalization time sequence is divided into two groups, 143 cases in control group were treated with ultrasound, 143 cases in observation group were given the routine urine test, all patients were with surgical and pathological results as basis for diagnosis, examination of the two groups of children with results were compared. Results The accuracy rate of the observation group was 96.5%, the misdiagnosis rate was 3.5%, the accuracy rate of the control group was 83.2%, the misdiagnosis rate was 16.8%, the difference was statistically significant(P <0.05). Conclusion Urine routine examination can obviously improve the accuracy rate of diagnosis of acute appendicitis in children, reduce the misdiagnosis rate, it is worth to be popularized in clinical application.