阑尾疾病的超声图像特征及诊断价值

目的：探讨阑尾疾病的超声图像特征及诊断价值。方法对经手术、病理或临床证实的6093例阑尾疾病的超声表现进行回顾性分析。结果急性单纯性阑尾炎1073例，急性化脓性阑尾炎2810例，急性坏疽性阑尾炎521例，阑尾周围脓肿679例，慢性阑尾炎976例，阑尾憩室炎2例，阑尾黏液囊肿15例，阑尾黏液囊腺瘤9例，阑尾黏液囊腺癌3例，阑尾腺癌2例，阑尾类癌3例，上述阑尾疾病各具一定的声像图特征，在鉴别诊断中至关重要，超声诊断总符合率为86.9%（5295/6093）。结论超声检查可作为诊断阑尾疾病的重要手段。

Ultrasonographic features and diagnostic value of appendix diseases

Objective To explore the ultrasonographic features and diagnostic value of the appendix diseases. Methods Ultrasonographic findings of 6 093 cases confirmed suffering from appendix disease by surgery, pathology or clinical were analyzed retrospectively. Results All cases were classified as follows, 1 073 cases of acute simple appendicitis, 2 810 cases of acute suppurative appendicitis, 521 cases of acute gangrene appendicitis, 679 cases of appendix ab-scess, 976 cases of chronic appendicitis, 2 cases of appendix diverticulitis, 15 cases of appendix mucous cyst, 9 cases of appendix bursae adenoma, 3 cases of appendix mucous cyst-adenocarcinoma, 2 cases of adenocarcinoma of the ap-pendix, 3 cases of carcinoid appendix. All of which had certain ultrasonographic features and those features in ultra-sonographic findings played a decisive role in the differential diagnosis. Diagnosis coincide rate of ultrasound was 86.9%（5 295/6 093）. Conclusion Ultrasonic examination is valuable in diagnosis of the appendix diseases.