C-反应蛋白、白细胞计数对急性阑尾炎的诊断价值(附197例分析)

目的将临床初步诊断为阑尾炎患者的临床症状结合C-反应蛋白(CRP)检测和WBC计数进行回顾性分析以评价上述指标的预测诊断价值。方法对197例临床初步诊断为阑尾炎患者的临床症状、CRP和WBC的检测水平进行分析。结果A组(n=62例):不典型腹痛的非阑尾炎保守治疗;B组(n=70例):慢性、单纯性阑尾炎,均行阑尾切除且病理提示为慢性阑尾炎(粪石性)和单纯性阑尾炎;C组(n=65例):化脓性、坏疽性、穿孔,行阑尾切除52例,且病理提示为化脓性、坏疽性阑尾炎部分伴穿孔;阑尾周围脓肿13例,采用中西医结合非手术治愈。使用U检验,A和B两组之间无统计学差异,而C组和前二组比较分别有显著性差异。结论CRP和WBC计数对区分阑尾炎和非阑尾炎患者和指导手术治疗具有一定的价值。

The value of C-reactive protein and leucocyte counts in the diagnosis of acute appendicitis

Objective By the way of retrospective analysis,we explored the differential diagnostic value of the levels of C-reactive protein(CRP)and leucocyte count(WBC)in patients with clinical impression of acute appendicitis.Methods The levels of CRP and WBC in consecutive 197 patients with clinical impression of appendicitis were measured prospectively.Results In this study,the CRP and WBC value in 62 patients with untypical symptom of non-appendicitis(group A),in 70 patients with typicai symptom of uncomplicated acute appendicitis(group B),in 65 patients with typical symptom of complicated acute appendicitis(group C)were calculated.The patients in group A were treated with non-operational methods,and the patients in group B and C with operation.There were statistically significant differences between group A and group C,group B and group C,but not between group A and group B.Conclusion It is efficient in differencing typical and untypicaI acute appendicitis by measuring the levels of dynamic CRP and WBC.