超声诊断急性阑尾炎的探讨

目的：探讨超声对阑尾炎诊断和鉴别诊断。方法：对在本院手术并经过病理证实的160例阑尾炎患者的声像图资料进行回顾分析。结果：急性单纯性108例,符合103例,符合率为95.3%;急性化脓性19例,符合17例,符合率为89.4%;急性坏疽性及穿孔性15例,符合11例,符合率为73.3%;阑尾周围脓肿12例,符合率为100%;误诊阑尾炎6例,误诊率占3.75%,女性患者5例,其中3例误诊为右附件区炎性包块,2例误诊为右侧宫外孕包块,男性患者1例,误诊为右腹股沟斜疝嵌顿。结论：超声对阑尾炎的诊断及鉴别诊断有十分重要的临床意义。

The Study on Diagnosis Value of Acute Appendicitis by Ultrasound

Objective： To investigate the ultrasound for diagnosis and differential diagnosis of appendicitis.Method： We retrospectively analysed the data of 160 patients after surgery in our hospital with pathologically confirmed appendicitis sonographic.Result： 108 cases of acute simple,103 cases of coincidence,coincidence rate was 95.3%;acute suppurative in 19 cases,17 cases of coincidence,coincidence rate was 89.4%;acute gangrenous and perforated in 15 cases,found 11 cases,coincidence rate was 73.3 %;appendiceal abscess in 12 cases,coincidence rate was 100%;misdiagnosed appendicitis in 6 cases,misdiagnosis rate of 3.75%,5 cases of female patients,3 cases were misdiagnosed as inflammatory mass in the right annex area,two cases were of misdiagnosed as right mass ectopic pregnancy,1 case of male patient,misdiagnosed as a right inguinal hernia incarcerated.Conclusion： There is an important clinical significance in ultrasound for diagnosis and differential diagnosis of appendicitis.