超声检查在急性阑尾炎早期诊断中的价值

目的探讨超声检查在急性阑尾炎早期诊断中的价值。方法回顾性分析118例急性阑尾炎患者的临床资料。结果急性阑尾炎118例,超声诊断符合率92.4%;其中急性单纯性阑尾炎28例,诊断符合率85.7%;急性化脓性阑尾炎62例,诊断符合率96.7%;急性坏疽性阑尾炎16例,诊断符合率93.6%。混合包块型阑尾炎12例,诊断符合率83.3%。结论超声检查在急性阑尾炎的早期诊断中有较高的价值,结合病史、查体、动态观察及实验室检查可明显提高诊断率。

The value of ultrasonography in early diagnosis of acute appendicitis

Objective To explore the value of ultrasonography in early diagnosis of acute appendicitis.Methods The clinical date of 118 cases with acute appendicitis analyzed retrospectively.Results There were 118 cases of acute appendicitis,the diagnose accordance rate was 92.4%,including 28 cases of acute simple appendicitis,the diagnose accordance rate was 85.7%,62 cases of acute purulent appendicitis,the diagnosis accordance rate was 96.7%,16 cases of acute necrosis appendicitis,the diagnosis accordance rate was 93.6%,12 cases of blending lump appendicitis,the diagnosis accordance rate was 83.3%.Conclusion Ultrasonography in early diagnosis of acute appendicitis have a higher value,by combining syndromes history,physical examination,development observation and laboratory medical report and ultrasonic examination can improve diagnosis rate obviously.