超声诊断急性阑尾炎患者临床分析

Clinical analysis of ultrasonic diagnosis of acute appendicitis

目的探讨在急性阑尾炎诊断中应用超声检查的临床效果。方法随机选取本院2014年2月至2015年9月期间收治的阑尾炎患者93例,均经手术病理检查得到确诊,所有患者均接受超声检查,并将其超声诊断结果同病理检查结果进行对比分析。结果本次研究中,共计检出非急性阑尾炎41例,急性阑尾炎52例;超声检查对于急性阑尾炎的诊断特异度为92.68%,灵敏度为84.62%,准确率为88.17%;其中,单纯性阑尾炎的超声诊断检出率明显低于阑尾周围脓肿和化脓性阑尾炎,差异具有显著性(P<0.05)。结论超声检查是一种可靠的急性阑尾炎诊断方法,操作简便且重复性好,建议在临床普遍推广。

Objective To investigate the clinical effect of uhrasonography in the diagnosis of acute appendicitis. Method 93 cases of appendicitis patients who received therapy in our hospital during 2014 February to September 2015 were selected. All patients were diagnosed with pathologically. All patients were underwent ultrasound examination and the results of the path- ologically and ultrasound were compared. Result 41 patients were diagnosed with non - acute appendicitis, and 52 patients were acute appendicitis. The diagnostic specificity of ultrasound was 92.68%, sensitivity 84.62%, and accurate rate 88. 17%. However, ure ultrasound diagnosis of appendicitis detection rate was significantly lower than that of periappendiceal abscess, suppurative appendicitis, （P 〈 0.05）. Conclusion Ultrasonic examination is a reliable method in diagnosis of acute appendicitis. It is easy to operate and has good reproducibility.