超声诊断急性阑尾炎的临床效果

Clinical Effect of Ultrasound in the Diagnosis of Acute Appendicitis

目的研究超声诊断急性阑尾炎的临床效果。方法选取2018年9月至2020年3月收治的急性阑尾炎患者40例,于患者入院时对其开展超声检查,由经验丰富的临床医师结合超声影像学表现来分析患者的病情,记录超声诊断结果与实际病情,综合分析超声诊断的价值。结果40例患者中38例患者被检出阑尾炎,与实际病情完全相符,占总选取患者的95.00%,余2例患者被漏诊,诊断准确性较高。分析影像学资料发现,超声检查在阑尾炎诊断中具有较高的特异性。统计选取患者对诊治工作的满意情况发现没有患者对诊治工作不满意,均对超声检查和手术治疗效果表示认可。急性化脓性阑尾炎在超声检查中可见阑尾体积明显增大,边界模糊不清,同样伴有管壁增厚症状,且增厚情况明显,经高频探头仔细观察可见管壁直径在10 mm以上,存在大量积液,回声不够均匀。在超声检查过程中可以较为清晰的观察到急性阑尾炎患者病变阑尾部位的影像特点,促使患者在极短时间内得到确诊。超声检查操作较为简单,具备可重复性操作的特点,检查过程多一般不会对患者造成负面作用,具备较高的安全性,且诊断的准确性较高,对于保障治疗效果有重要作用。结论急性阑尾炎的诊断中选用超声检查,经影像学分析可实现对患者病情的准确诊断,诊断结果与实际病情符合度较高,对于指导治疗工作的开展具有重要意义。

Objective To study the clinical effect of ultrasound in the diagnosis of acute appendicitis.Methods A total of 40 patients with acute appendicitis were selected from September 2018 to March 2020.Ultrasound examination was carried out on the patients when they were admitted to the hospital.Experienced clinicians combined with ultrasonic imaging manifestations to analyze the patient's condition,record the comparison between the ultrasonic diagnosis results and the actual condition,and comprehensively analyze the value of ultrasonic diagnosis.Results Among the 40 patients selected,38 patients were detected with appendicitis,which was completely consistent with the actual condition,accounting for 95.00%of the total selected patients.The remaining 2 patients were missed,and the diagnostic accuracy was high.The analysis of imaging data found that ultrasonography had high specificity in the diagnosis of appendicitis.According to the statistics of patients'satisfaction with the diagnosis and treatment,it was found that no patients were dissatisfied with the diagnosis and treatment,and all recognized the effect of ultrasound and surgical treatment.In the ultrasonic examination of acute suppurative appendicitis,it can be seen that the volume of the appendix is significantly increased and the boundary is blurred.It is also accompanied by the symptoms of tube wall thickening,and the thickening is obvious.Through careful observation with a high-frequency probe,it can be seen that the diameter of the tube wall is more than 10 mm,there is a large amount of effusion,and the echo is not uniform enough.In the process of ultrasonography,we can clearly observe the image characteristics of the diseased appendix in patients with acute appendicitis,which promotes the diagnosis of patients in a very short time.Conclusion Ultrasonic examination is selected in the diagnosis of acute appendicitis.With the help of imaging analysis,the accurate diagnosis of the patient's condition can be realized.The diagnostic results are in good agreement with the actual condition.It is of great significance to guide the development of treatment.