腹部灰阶超声诊断急性阑尾炎的临床价值分析

Clinical value of abdominal ultrasound in the diagnosis of acute appendicitis

目的探讨腹部灰阶超声诊断急性阑尾炎的临床价值.方法选取2015年3月至2017年4月浙江省医疗健康集团杭州医院(杭钢医院)收治的急性阑尾炎患者60例,患者均采用腹部灰阶超声进行检查,并进行手术治疗,分析腹部灰阶超声诊断急性阑尾炎的临床价值.结果急性单纯性阑尾炎诊断符合率94%(33/35),急性坏疽穿孔性阑尾炎诊断符合率87%(7/8),阑尾周围脓肿诊断符合率100%(5/5).而腹部灰阶超声检查确诊结果符合手术病理确诊结果的有56例,准确率为93%(56/60).结论在诊断急性阑尾炎中,腹部灰阶超声检查不失为一个既直接、简便又安全、准确的检查手段,值得广泛的推广和应用.

Objective To investigate the clinical value of abdominal ultrasound in the diagnosis of acute appendicitis.Methods From March 2015 to April 2017,60 patients with acute appendicitis admitted to Hangzhou Hospital of Zhejiang Medical Hospital Health Care Group were selected in this study.All patients were diagnosed by abdominal ultrasound and performed surgical treatment.The clinical value of abdominal ultrasound in the diagnosis of acute appendicitis was analyzed.Results The diagnostic rate of acute simple appendicitis was 94%(33/35).The diagnostic rate of acute gangrene perforated appendicitis was 87%(7/8).The diagnostic rate of abscess classification around the appendix was 100%(5/5).The diagnosis of abdominal gray-scale ultrasound examination was consistent with the results of surgical pathological diagnosis,with an accuracy rate of 93%(56/60).Conclusion In the diagnosis of acute appendicitis,abdominal gray-scale ultrasound examination is a direct,simple,safe and accurate method,which is worthy of extensive promotion and application.