超声诊断急性阑尾炎的应用价值  

Diagnostic value of ultrasound in acute appendicitis

作　　者：孙焱[1] 尹娟[2] 程东风[3] 刘韶平[4] 徐凤芹[1,3] 孟迪 

机构地区：[1]山东省济南市第四人民医院超声科,山东济南250031 [2]山东省济南市妇幼保健院超声科,山东济南250001 [3]山东省济南市第四人民医院放射科,山东济南250031 [4]山东大学齐鲁医院超声科,山东济南250012 [5]山东省济南市圣玛丽亚妇产医院超声科,山东济南250002

出　　处：《中国中西医结合影像学杂志》2015年第4期406-408,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的 :探讨超声在诊断急性阑尾炎中的应用价值。方法 :回顾性分析56例经手术病理证实的急性阑尾炎患者的超声征象,预测急性阑尾炎的病理类型。结果:靶环征主要出现在单纯性和化脓性急性阑尾炎中。阑尾周围积液主要出现在化脓性和坏疽性急性阑尾炎中。56例中,有直接超声征象者54例,占96.4%,指状低回声肿块51例,靶环征45例,管腔内强回声伴声影17例,阑尾管腔扩张积液8例,肠腔积气蠕动减慢2例;无直接征象者2例,仅显示阑尾周围积液,占3.6%。结论 :靶环征、阑尾周围积液可提示急性阑尾炎的病理类型。Obejective：To study the diagnostic value of ultrasound in acute appendicitis. Methods：56 patients with acute ap-pendicitis who had received ultrasound examination and pathological proven were randomized selected. And the pathological types of acute appendicitis were predicated. Results：Target-like sign suggested the present of acute simple appendicitis or acute phlegmonous appendicitis. Effusion around the appendix suggested the present of acute phlegmonous appendicitis or acute gan-grenous appendicitis. Of the 56 patients,54 cases had the direct ultrasound features,which accounted for 96.4%,51 case with finger-like hypoechoic mass lesion,45 cases with target-like sign,17 cases with strong echoes and shadows in the appendix,8 cases with dilation and effusion in the appendix,2 cases with pneumatosis and slow movement. 2 patients had effusion around the appendix as the indirect features,which accounted for 3.6%. Conclusions：Target-like sign and effusion around the appendix indicates the pathological types of acute appendicitis.

关 键 词：阑尾炎 超声检查 诊断 

分 类 号：R656.8[医药卫生—外科学]