超声检查对儿童急慢性阑尾炎的诊断价值  

The analysis of the value of type identification and signs of ultrasound in the diagnosis of acute and chronic appendicitis in children

作　　者：范晓娟[1] 刘广禄[1] 张宝娟[1] FAN Xiaojuan;LIU Guanglu;Zhang Baojuan(Maternity and Child health Care Hospital of Children＇s Hospital of Baoji City Functional Department,Baoji,Shaanxi 721000)

机构地区：[1]宝鸡市妇幼保健院儿童医院功能科,陕西宝鸡721000

出　　处：《安徽医药》2018年第7期1312-1314,共3页Anhui Medical and Pharmaceutical Journal

基　　金：西部地区妇幼卫生能力提升项目(2015FYQ003)

摘　　要：目的研究超声检查用于儿童急慢性阑尾炎分型鉴别的价值及征象特点。方法纳入90例疑似阑尾炎患儿作为研究对象,所有患儿均行彩色多普勒超声检查,术后与病理结果对照,分析超声检查在儿童急慢性阑尾炎鉴别诊断中的价值。结果经手术病理证实,62例急性阑尾炎,21例慢性阑尾炎,7例急性肠套叠。超声检查结果与手术病理结果一致性高(Kappa值为0.785)。超声检查灵敏度为90.36%,特异度为85.71%,准确度为90.00%。34例急性阑尾炎见靶环征,19例慢性阑尾炎见串珠状改变。急慢性阑尾炎回声情况、靶环征、阑尾周围积液及串珠状改变等超声检查征象表现差异有统计学意义(P<0.05)。结论超声检查对鉴别儿童急慢性阑尾炎及其病理分型具有较高的准确性,对阑尾炎的早期筛查和指导临床治疗具有一定运用价值。Objective To study the value and sign characteristics of ultrasound in the diagnosis of acute and chronic appendicitis in children. Methods 90 cases of children with suspected appendicitis were included in the study,all children were examined by color Doppler ultrasonography and the postoperative pathological results were compared. The value of ultrasound in differential diagnosis of acute and chronic appendicitis in children were analyzed. Results By operation and pathology,62 cases of acute appendicitis,21 cases of chronic appendicitis and 7 cases of acute intussusception were confirmed. The results of ultrasonography were consistent with the results of operation and pathology（ Kappa = 0. 785）. The sensitivity of ultrasonography,the specificity the accuracy was 90. 36%,85. 71%,90. 00%,respectively. 34 cases of acute appendicitis were saw the target ring sign. In the 19 cases of chronic appendicitis were saw the bead like change. There were significant differences in the sonographic features between acute appendicitis and chronic appendicitis,such as target ring sign,fluid around the appendix and the change of the string of beads（ P〈0. 05）. Conclusion The ultrasound has a high accuracy in the differential diagnosis of acute and chronic appendicitis in children,which has certain application value for the early screening and clinical treatment of appendicitis.

关 键 词：阑尾炎 超声检查 多普勒 彩色 儿童 

分 类 号：R445.1[医药卫生—影像医学与核医学] R726.5[医药卫生—诊断学]