结肠癌合并急性阑尾炎的超声诊断

目的 探讨结肠癌合并急性阑尾炎的超声影像特点及早期诊断的临床价值。方法 对79例经手术及病理证实为结肠癌合并急性阑尾炎患的临床及超声影像资料进行回顾性分析研究。结果 79例术前超声诊断为结肠癌合并急性阑尾炎71例，占89．9％；误诊为急性阑尾炎5例，占6．3％；误诊为胃穿孔2例，占2．5％；误诊为肠套叠1例，占1．3％。结论 超声显像对结肠癌合并急性阑尾炎的诊断及鉴别诊断有重要价值，早期诊断应得到进一步重视。

Ultrasonographic Diagnosis of Colonic Carcinoma Complicated with Acute Appendicitis

Objective To investigate the characteristics of colonic carcinoma complicated with acute appendicitis and to explore its clinical value in early diagnosis.Methods The ultrasonographic findings and clinical appearance of 79 patients with colonic carcinoma and acute appendicitis pathologically proved were retrospectively analyzed.Results Among 79 patients,71 cases (71/79,89.9%) were diagnosed the two diseases accurately on ultrasonography before operation,8 cases were misdiagnosed,including:5 cases (5/79,6.3%) as acute appendicitis simply;2 cases(2/79,2.5%) as stomach perforation and 1 case(1/79,1.3%) as intussusception. Conclusions The ultrasonography has high diagnostic and differential diagnosis value for colonic carcinoma complicated with acute appendicitis.We should pay attention to apply ultrasound in early diagnosis.