超声弹性成像与二维超声对急性阑尾炎的诊断价值对比研究

Acomparative Study of the Value of Ultrasound Elastography and Two-dimensional Ultrasound in the Diagnosis of Acute Appendicitis

目的探究超声弹性成像(UE)与二维超声对急性阑尾炎的诊断价值。方法选取本院2017年8月至2019年12月诊治的60例急性右下腹痛患者,所有患者均进行UE和二维超声检查,并以手术后病理检查结果为标准,比较两种影像学方法对急性阑尾炎诊断的准确度、灵敏度和特异度。结果本组60例患者中,经病理检查确诊为急性阑尾炎的有50例,其他10例,与UE检查结果一致。二维超声诊断的准确度为85.00%、灵敏度为86.00%、特异度为80.00%,UE诊断的准确度为93.33%、灵敏度为96.00%、特异度为80.00%。结论相比二维超声,UE诊断急性阑尾炎的准确度和灵敏度更高,具有更大应用价值。

Objective To explore the value of ultrasound elastography(UE)and two-dimensional ultrasound in the diagnosis of acute appendicitis.Methods 60 patients with acute abdominal pain in the right lower quadrant diagnosed and treated in the hospital between August 2017 and December 2019 were selected as the subjects.All of them completed UE and two-dimensional ultrasonography.With the results of the pathological examination after surgery as the standard,the accuracy rates,sensitivities and specificities of the two imaging methods in the diagnosis of acute appendicitis were compared.Results Among the 60 patients,50 were diagnosed with acute appendicitis by pathological examination,which was consistent with the results of UE.The accuracy,sensitivity and specificity of two-dimensional ultrasound diagnosis were 85.00%,86.00%and 80.00%.Those of UE diagnosis was 93.33%,96.00%and 80.00%.Conclusion Compared with two-dimensional ultrasound,the accuracy and sensitivity of UE are higher in the diagnosis of acute appendicitis.