基于急性阑尾炎的超声诊断与鉴别敏感性研究

Study on sensitivity of ultrasound diagnosis and differential diagnosis of acute appendicitis

目的:研究急性阑尾炎患者行超声诊断的价值。方法:2019年2月-2020年8月收治急性阑尾炎患者100例,入院后均行超声诊断,并以病理结果为诊断"金标准"进行对照,分析最终诊断结果。结果:超声诊断准确率为97.00%,与病理诊断结果比较,差异无统计学意义(P>0.05)。与单纯性阑尾炎比较,化脓性、坏疽性阑尾炎周围积液占比更高,差异有统计学意义(P<0.05);与坏疽性阑尾炎比较,单纯性、化脓性的靶环征占比更高,差异有统计学意义(P<0.05)。结论:超声诊断急性阑尾炎患者,能准确鉴别疾病类型,提高疾病确诊率。

Objective:To study the value of ultrasound in the diagnosis of acute appendicitis.Methods:From February 2019 to August 2020,100 patients with acute appendicitis were selected.After admission,all patients underwent ultrasound diagnosis,and pathological results were regarded as the gold standard for diagnosis,we analyzed the final diagnosis results.Results:The accuracy rate of ultrasound diagnosis was 97.00%,and there was no significant difference compared with pathological diagnosis(P>0.05).Compared with simple appendicitis,suppurative and gangrenous periappendiceal effusion accounted for a higher proportion,the difference was statistically significant(P<0.05).Compared with gangrenous appendicitis,simple and purulent target ring signs were more common,the difference was statistically significant(P<0.05).Conclusion:Ultrasound diagnosis of acute appendicitis patients can accurately identify the type of disease,improve the diagnosis rate of disease.