B超在疑似急性阑尾炎中的诊断价值  

The Value of B-ultrasonographic Diagnosis in Suspiciously Acute Appendicitis

作　　者：张新洋 胡家平[2] 余永欢[2] 吴安涛[2] 陈莉[3] 

机构地区：[1]江西省成新农场医院外科,江西新建330125 [2]江西医学院第一附属医院普外科,江西南昌330006 [3]江西医学院第一附属医院超声诊断科,江西南昌330006

出　　处：《实用临床医学（江西）》2005年第8期123-124,共2页Practical Clinical Medicine

摘　　要：目的研究B超在疑似急性阑尾炎诊断中的价值。方法随机连续抽取200例疑似急性阑尾炎病人术前行B超检查,进而经手术治疗及病理检查,并比较B超检查结果和临床诊断结果之间的关系。结果B超诊断与病人性别之间没有显著性差异;B超诊断出急性阑尾炎141例,漏诊42例,误诊5例;其阳性率为77.0%,特异性96.6%,假阳性率2.7%和假阴性率23.0%。结论疑似急性阑尾炎病人术前应行B超检查,可提高术前诊断急性阑尾炎的准确性。Objective： To explore the value of B-uhrasonographic diagnosis in suspiciously acute appendicitis. Methods： On the basis of clinical findings, 200 consencutive patients with clinical suspicion of acute appendicitis were referred to an B-ultrasonographic examination of the appendix and abdomen,then operation and histologic examination, finally compared the B-uhrasonographic diagnosis with clinical diagnosis. Results： there was no statistical difference between B-uhrasono graphic diagnosis and patient＇s sex. B ultrasonographic examinations were noted in 141 of 200 patients（77. 0%）, false negative 42 of 200 patients （21. 0%）, false positive 5 of 200 patiems （2. 7%） and specificity 96.6%. Conclusion：To improve the diagnostic accuracy of acute appendicitis, B-uhrasonography should be used in suspiciously acute appendicitis preoperatively.

关 键 词：B超 急性阑尾炎 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R656.8[医药卫生—诊断学]