实时超声诊断急性阑尾炎合并阑尾结石的临床价值

目的应用实时超声检查诊断急性阑尾炎合并阑尾结石以探讨其临床价值。方法用实时超声凸阵探头和高频探头相结合的扫查方法，按“升结肠→回盲瓣→盲肠→阑尾”的扫查顺序显示病变阑尾及腔内结石。结果超声诊断符合率达97.1％（132／136）。其在超声图像上有特征性表现，易于诊断和鉴别诊断。结论实时超声诊断急性阑尾炎合并阑尾结石具有较高的准确性，不但可显示病变的阑尾及其腔内结石，判断炎症程度，同时又可显示其他脏器有无痛变，为临床提供明确的诊断和鉴别诊断，具有较高的临床实用价值。对合并阑尾结石的急性阑尾炎患者，宜尽早行手术治疗。

Clinical Value of Real-Time Ultrasonic Examination in Diagnosis of Acute Appendicitis Combined with Appendicular Calculus

Objective To explore the clinical value of real-time ultrasonic examination in the diagnosis of acute appendicitis with appendicular calculus. Methods The convex array probe and high frequeney probe were used in the real-time ultrasonic examination. The pathological changes and calculi in appendicitis or cavum were displayed in the sequence of colon ascendens,ileocecal valve,caecum anti vermiform appendix, Results The diagnostic accordance rate of ultrasonic examination was 97.1%, The ultrasonic imaging was of characteristics and easy to jndge and diagnose. Conclusions The real-time ultrasonic examination is of high accuracy in the diagnosis of acute appendicitis with appendicular calculus. It can not only show the pathological changes and calculi but also display the conditions of other organs. Real-tlme ultrasonic examination has a high practical value in the clinic,and should be taken to the patients of acute appendicitis with appendicular calculus as early hs possible.