高频超声诊断小儿急性阑尾炎的价值分析

Value of High Frequency Ultrasound in Diagnosis of Acute Appendicitis in Children

目的分析应用高频超声诊断小儿急性阑尾炎的价值。方法2017年10月—2018年12月在我院病理确诊为急性阑尾炎的患儿中随机抽取87例,所有患儿均接收高频超声检查,比较不同类型阑尾炎高频超声诊断与病理诊断的符合情况。结果高频超声共计检出63例急性阑尾炎患儿,诊断符合率为72.41%,其中,阑尾周围脓肿诊断符合率为100.00%、急性坏疽穿孔性阑尾炎诊断符合率为90.91%,急性化脓性阑尾炎诊断符合率为65.12%,急性单纯阑尾炎诊断符合率为46.15%,阑尾周围脓肿以及急性坏疽穿孔性阑尾炎诊断符合率高,差异有统计学意义(P <0.05)。结论高频超声在小儿急性阑尾炎中的诊断价值较高,而且能够通过影像表现判断急性阑尾炎分型。

Objective To analyze the diagnostic value of high frequency ultrasound in children with acute appendicitis. Methods From October 2017 to December 2018, 87 patients were randomly selected from our hospital for acute appendicitis. High-frequency ultrasound was performed for all children. The high-frequency ultrasound diagnosis of different types of appendicitis was compared. Results A total of 63 children with acute appendicitis were detected by high-frequency ultrasound. The diagnostic coincidence rate was 72.41%. The diagnostic coincidence rate of abscess around the appendix was 100.00%, and the diagnostic coincidence rate of acute gangrene perforated appendicitis was 90.91%. Acute suppurative appendicitis. The diagnostic coincidence rate was 65.12%, the diagnostic coincidence rate of acute simple appendicitis was 46.15%, and the diagnostic accuracy of periorbital abscess and acute gangrene perforated appendicitis was significantly higher (P < 0.05). Conclusion Highfrequency ultrasound has a high diagnostic value in children with acute appendicitis, and it can judge the classification of acute appendicitis by imaging findings.