腹壁逐步加压超声探查法对老年急性非典型阑尾炎诊断的有效性研究  

Graded Compression Ultrasound Evaluation of Acute Appendicitis in the Old People with Atypical Symptoms

作　　者：张小英[1] 杨景国[1] 

机构地区：[1]北京市普仁医院,北京100062

出　　处：《中国药物警戒》2011年第1期23-25,共3页Chinese Journal of Pharmacovigilance

基　　金：北京市金桥工程资助(NO4543)

摘　　要：目的探讨腹壁逐步加压超声探查法在老年急性非典型性阑尾炎诊断中的有效性及价值。方法临床以弥漫性腹痛为主诉的老年性患者240例使用超声检查,采用腹壁逐步加压探查法,在患者最痛点,寻找阑尾,或者在麦氏点采用不同切面(纵、横及斜切等)进行加压探查寻找阑尾,同时在基波、二次谐波下,提高阑尾的显示率,分析阑尾区图像不同特点。结果超声确诊并被证实急性阑尾炎有240例,其中182例(75.8%)无明显包块仅表现右下腹阑尾区周围局限性肠管扩张或局限性的无回声区,20例(8.3%)混合性包块,38例(15.8%)无明显包块但表现为管状无回声,全部经术后及病理或治疗后随访观察证实;超声诊断急性非典型阑尾炎结果与病理严重程度有很好的相关性,其声像图的特征:阑尾壁增厚、连续性中断、周围出现稍强回声,阑尾区周围局限性肠管扩张或局限性的无回声区和可以提示急性阑尾炎合并并发症如穿孔、阑尾脓肿或大网膜包裹等。结论以弥漫性腹痛为主诉老年患者,超声能判断阑尾区无回声区、混合性包块或肿大阑尾,提示阑尾炎程度。Objective We mainly discuss the sonographic value of the diagnosis of acute appendicitis in the old people with atypical clinical symptoms.Methods There were 240 old patients with stomach-ache performed by ultrasound with the graded compression technique at the front abdomen wall,the appendix was visualized by the method from flank to ileocecum with the graded compression technique or scanned in the most painful spot that the patients felt,meanwhile the appendix imaging was improved both in the fundamental ...

关 键 词：超声 急性非典型阑尾炎 病理 

分 类 号：R574.61[医药卫生—消化系统]