超声检查对不同病理类型阑尾炎的诊断价值

Diagnostic Value of Ultrasonography For Appendicitis of Different Pathological Types

目的探讨超声检查对不同病理类型阑尾炎的诊断价值。方法选取该院于2016年5月-2019年1月收治的85例阑尾炎患者,所有患者入院后均进行超声检查,而且这些患者都经过病理检测确诊为阑尾炎,对上述患者的病例资料进行回顾性分析,观察超声检查对不同病理类型阑尾炎的诊断价值。结果化脓性阑尾炎、单纯性阑尾炎和坏疽性阑尾炎的超声诊断准确率分为91.2%、88.9%和87.5%,数据差异无统计学意义(P>0.05),慢性阑尾炎的超声诊断准确率为70.0%,比其他三类阑尾炎的诊断准确率低,且差异有统计学意义(P<0.05);化脓性阑尾炎与坏疽性阑尾炎的阑尾长度、阑尾宽度和管壁厚度均高于单纯性阑尾炎和慢性阑尾炎(P<0.05)。结论超声检查用于不同类型阑尾炎诊断中具有较高的应用价值,推荐临床应用。

Objective To investigate the diagnostic value of ultrasonography in appendicitis of different pathological types.Methods Eighty-five patients with appendicitis admitted to our hospital from May 2016 to January 2019 were enrolled.All patients underwent ultrasound examination after admission.All of these patients were diagnosed with appendicitis after pathological examination.The patient data of the above patients were reviewed.Sexual analysis,observation of the diagnostic value of ultrasound examination for different pathological types of appendicitis.Results The diagnostic accuracy of suppurative appendicitis,simple appendicitis and gangrenous appendicitis was 91.2%,88.9%and 87.5%.The difference was not statistically significant(P>0.05).The accuracy of ultrasound diagnosis of chronic appendicitis was 70.0.%,the diagnostic accuracy of the other three types of appendicitis was lower,and the difference was statistically significant(P<0.05).The length of the appendix,the width of the appendix and the wall thickness of suppurative appendicitis and gangrenous appendicitis were higher than those of simple appendicitis and chronic Appendicitis(P<0.05).Conclusion Ultrasonography is of high value in the diagnosis of different types of appendicitis.It is recommended for clinical application.