结肠癌合并急性阑尾炎的超声诊断  

Ultrasonographic Diagnosis of Colonic Carcinoma Complicated with Acute Appendicitis

作　　者：魏达友[1] 刘思怡[1] 谭小燕[1] 梁玉婷[1] 蔡永秋[1] 

机构地区：[1]茂名市人民医院超声科,广东省525000

出　　处：《中国超声诊断杂志》2005年第1期21-23,共3页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的　探讨结肠癌合并急性阑尾炎的超声影像特点及早期诊断的临床价值。方法　对 79例经手术及病理证实为结肠癌合并急性阑尾炎患者的临床及超声影像资料进行回顾性分析研究。结果　 79例术前超声诊断为结肠癌合并急性阑尾炎 71例 ,占 89.9% ;误诊为急性阑尾炎 5例 ,占 6 .3% ;误诊为胃穿孔 2例 ,占 2 .5 % ;误诊为肠套叠 1例 ,占 1.3%。结论　超声显像对结肠癌合并急性阑尾炎的诊断及鉴别诊断有重要价值 ,早期诊断应得到进一步重视。Objective To investigate the characteristics of colonic carcinoma complicated with acute appendicitis and to explore its clinical value in early diagnosis.Methods The ultrasonographic findings and clinical appearance of 79 patients with colonic carcinoma and acute appendicitis pathologically proved were retrospectively analyzed.Results Among 79 patients,71 cases (71/79,89.9%) were diagnosed the two diseases accurately on ultrasonography before operation,8 cases were misdiagnosed,including:5 cases (5/79,6.3%) as acute appendicitis simply;2 cases(2/79,2.5%) as stomach perforation and 1 case(1/79,1.3%) as intussusception. Conclusions The ultrasonography has high diagnostic and differential diagnosis value for colonic carcinoma complicated with acute appendicitis.We should pay attention to apply ultrasound in early diagnosis.

关 键 词：急性阑尾炎 结肠癌 超声诊断 误诊 超声影像 早期诊断 超声显像 临床价值 胃穿孔 术前 

分 类 号：R735.35[医药卫生—肿瘤] R656.8[医药卫生—临床医学]