PAS联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断的临床价值  

Clinical diagnosis value of PAS combined with ultrasound for acute appendicitis and mesenteric lymphadenitis in children

作　　者：谢琼[1] 李一冰[1] 姬红丽[1] XIE Qiong LI Yi-bing JI Hong-li(Department of Ultrasound, Zhengzhou Maternal and Child Health Care Hospital of Henan Province, Zhengzhou 450052, Chin)

机构地区：[1]河南省郑州市妇幼保健院超声科,河南郑州450052

出　　处：《河北医科大学学报》2017年第8期925-928,共4页Journal of Hebei Medical University

摘　　要：目的探讨小儿阑尾炎评分(pediatric appendicitis score,PAS)联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断的临床价值。方法选择因腹痛治疗的患儿194例,分别采用PAS、超声以及二者联合对患儿进行诊断,分析3种方法的诊断价值。结果病理检查结果最终确诊急性阑尾炎87例,急性肠系膜淋巴结炎56例。PAS与超声联合诊断对急性阑尾炎的灵敏度(96.55%)、特异度(93.46%)、准确度(94.85%)高于PAS(74.71%、66.36%、70.10%)和超声诊断(88.51%、92.52%、90.72%)。PAS与超声联合诊断对肠系膜淋巴结炎的灵敏度(98.21%)、特异度(97.10%)、准确度(97.42%)高于PAS(25.00%、63.92%、79.71%)和超声诊断(92.86%、94.33%、94.93%)。结论 PAS联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断具有较高的敏感度、特异度及准确度。Objective To investigate the clinical diagnosis value of pediatric appendicitis score（PAS） combined with ultrasound for acute appendicitis and mesenteric lymphadenitis in children, Methods A total of 194 cases were selected in our hospital because of abdominal pain. Both of PAS and ultrasound diagnosis were used to diagnose patients, the diagnostic value of three diagnostic methods were evaluated. Results The final pathological examination confirmed 87 cases of acute appendicitis and 56 cases of acute mesenteric lymphadenitis. The sensitivity, speoificity and accuracy of PAS combined with ultrasonography in the diagnosis of acute appendicitis were 96.55%, 93.46% and 94.85%, respectively, which were higher than the PAS （74.71%, 66.3%, 70.10%） and ultrasound diagnosis（88.51%, 92.52%, 90.72%） . The sensitivity, specificity and accuracy of PAS combined with ultrasonography in the diagnosis of mesenteric lymphadenitis were 98.21%, 97.10% and 97.42%, respectively, which were higher than the PAS（25.00%, 63.92%, 79.71%） and ultrasound diagnosis（92.86%, 94.33%, 94.93%）. Conclusion PAS combined with ultrasound in the diagnosis of mesenteric lymphadenitis and acute appendicitis has high sensitivity, specificity and accuracy.

关 键 词：阑尾炎 肠系膜淋巴腺炎 超声检查 

分 类 号：R574.61[医药卫生—消化系统]