超声间接征象对诊断急性阑尾炎的应用价值  

Clinical Application of Indirect Ultrasonographic Signs of Acute Appendicitis

作　　者：张媛[1] 劳伟[1] 李培玉[1] 赵雅楠[1] 

机构地区：[1]滨州市中心医院功能检查科,山东滨州251700

出　　处：《中国医疗设备》2013年第2期135-136,96,共3页China Medical Devices

摘　　要：目的探讨急性阑尾炎超声间接征象与炎症程度的关系及临床意义。方法应用彩超检查207例急性阑尾炎患者,分析其间接征象。结果急性阑尾炎时超声间接征象中阳性率较高的征象为:局部探头压痛及反跳痛、回盲部水肿、右下腹局部强回声、右下腹肠间隙积液、肠系膜淋巴结肿大等;超声间接征象与阑尾炎严重程度相关,阑尾炎越严重,间接征象阳性率越高。结论超声间接征象能确切反映阑尾周围组织炎症,正确认识超声间接征象有助于提高对急性阑尾炎的诊断。Objective To discuss the relevance between indirect ultrasonographic signs of acute appendicitis and degree of inflammation and clinical significance. Methods 207 acute appendicitis samples were inspected with color Doppler imaging and indirect symptoms were analyzed. Results The positive rate of the indirect signs： local probe tenderness and rebound; ileocecum edema; local strong echo right lower quaduant; pyoperitoneum of right lower quadrant; mesenteric lymphadenectasis etc. The severer the appendicitis is, the higher the positive rate is. Conclusion Ultrasonic indirect signs reflect the inflammation of tissues surrounding the appendix. Correct understanding of indirect ultrasonographic signs is useful to diagnose the acute appendicitis clinically.

关 键 词：彩色超声诊断仪 阑尾炎 间接征象 超声检查 

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]