高频超声分型诊断急性阑尾炎的临床价值探析

Clinical Value of High-Frequency Ultrasound in the Diagnosis of Acute Appendicitis Classification

目的探析高频超声对急性阑尾炎分型诊断的临床价值。方法以本院2019年2月至2020年2月收治的358例急性阑尾炎患者为研究对象,对其临床诊断资料进行回顾性分析,病患入院后经高频超声检查后进行手术治疗,对比术后病理检测(以下简称“病检”)分型。结果收治的358例患者中,经由高频超声确诊的患者多达332例,总体确诊率高达92.74%。其中病检为急性单纯性阑尾炎、急性化脓性阑尾炎、坏疽型阑尾炎依次有182例、148例、28例,而经超声确诊的病人分别为169例(92.86%)、131例(88.51%)、22例(78.57%)。结论高频超声对急性阑尾炎的确诊率较高,对确定其分型较为准确,可有效提高临床诊断,值得推广。

Objective To explore the clinical diagnostic value of high-frequency ultrasound in acute appendicitis classification.Methods The clinical diagnosis data of 358 patients with acute appendicitis who were admitted to the hospital from February 2019 to February 2020 were retrospectively analyzed.The underwent surgical treatment after a high-frequency ultrasound examination after admission.The classification of the postoperative pathological examination was compared.Results Among the 358 patients,there were 332 cases confirmed by high-frequency ultrasound,and the overall confirming rate was as high as 92.74%.The pathological examination showed 182 cases,148 cases and 28 cases with acute simple appendicitis,acute suppurative appendicitis and gangrenous appendicitis,respectively.It was confirmed by ultrasound that there were 169 cases(92.86%),131 cases(88.51%)and 22 cases(78.57%)with the above three types of appendicitis,respectively.Conclusion High-frequency ultrasound is of relatively higher confirming rate for acute appendicitis,which is more accurate in determining its classification.It can effectively improve clinical diagnosis.