普通B超诊断急性阑尾炎200例临床分析  

200 Cases of Clinical Analysis in The Diagnosis of Acute Appendicitis By The Ordinary B Ultrasound

作　　者：张蓉 

机构地区：[1]湖北省秭归县人民医院,湖北秭归443600

出　　处：《中国医学创新》2013年第27期87-88,共2页Medical Innovation of China

摘　　要：目的：探讨普通B超在诊断急性阑尾炎上的临床应用分析。方法：对本院2003年1月-2013年5月的200例急性阑尾炎进行普通B超检查,再将其结果与病理结果进行分析比较。结果：在200例病例中,普通B超检测了186例显示为急性阑尾炎声像图,其特点主要表现是阑尾轻度肿大、管壁不对称增厚、腔内有积脓,14例未显示。根据ROC曲线,急性单纯性阑尾炎和阑尾周围脓肿的AUC〉0.5的情况下,AUC越接近于1;在急性化脓性阑尾炎和坏疽性及穿孔性阑尾炎的AUC在0.5~0.7时,AUC越趋向于0。经过综合的对比,检查符合率为93%。结论：普通B超对急性单纯性阑尾炎和阑尾周围脓肿的检测较为敏感,而对于急性化脓性阑尾炎和坏疽性及穿孔性阑尾炎的检测则较为迟钝。在临床治疗上要充分重视普通B超的作用。Objective： To investigate the ordinary B ultrasound in the diagnosis of acute appendicitis on clinical application.Method： From January 2013- May 2013, 200 cases with acute appendicitis were given normal B-ultrasound, and then the results were analyzed and compared with the pathologic findings.Result： In 200 cases, normal ultrasound examined 186 cases of displays for the acute appendicitis, ultrasonography was its characteristic mainly mild swelling appendix, asymmetric wall thickening and cavity with empyema, 14 cases were not shown.According to the ROC curve, acute simple appendicitis and periappendicural absecess AUC〉0.5, AUC was more close to l; In acute suppurative appendicitis and gangrene and perforation appendicitis AUC in 0.5-0.7, AUC tend to zero.After a comprehensive comparison, check the coincidence rate was 93%.Conclusion： Ordinary B-acute appendicitis still has a very highdiagnostic value, should pay attention to its clinical value.

关 键 词：普通B超 急性阑尾炎 鉴别诊断 临床分析 

分 类 号：R656.8[医药卫生—外科学]