高频联合低频超声检查用于急性阑尾炎的诊断价值  

Clinical value of high frequency combined with low frequency of ultrasound for the diagnosis of acute appendicitis

作　　者：王鑫 Wang Xin(Special Inspection Section,the Traditional Chinese Medicine Hospital of Beilun District,Ningbo,Zhejiang 315800,China)

机构地区：[1]宁波市北仑区中医院特检科,浙江省宁波315800

出　　处：《中国基层医药》2018年第21期2775-2778,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省医药卫生科技计划项目（2012KYA024）

摘　　要：目的分析高频联合低频超声检查用于急性阑尾炎诊断的临床效果。方法选择宁波市北仑区中医院2015年9月至2016年9月收治的疑似急性阑尾炎患者150例为研究对象，对患者进行高频联合低频超声检查，分析高频联合低频超声检查对急性阑尾炎患者诊断的正确率，并与术后病理检查结果进行比较。结果高频联合低频超声检查诊断阑尾周围脓肿正确率为95.5%，诊断单纯性阑尾炎正确率为94.4%，诊断化脓性阑尾炎正确率为97.8%，诊断坏疽性阑尾炎正确率为97.9%；高频联合低频超声检查对位于回肠前的急性阑尾炎诊断正确率为97.4%，对位于盆位的急性阑尾炎诊断正确率为97.6%，对位于盲肠后位的急性阑尾炎诊断正确率为97.1%，对位于回肠后位的急性阑尾炎诊断正确率为93.8%；高频联合低频超声检查对急性阑尾炎诊断正确率、特异性、灵敏性、漏诊率、误诊率分别为96.9%、90.0%、96.9%、3.1%、10.0%，与术后病理检查结果差异均无统计学意义（均P〉0.05）。结论高频联合低频超声检查用于诊断急性阑尾炎有较高的诊断正确率。Objective To analyze the clinical value of high frequency combined with low-frequency ultrasound examination for the diagnosis of acute appendicitis.Methods From September 2015 to September 2016, 150 patients with suspected acute appendicitis in the Traditional Chinese Medicine Hospital of Beilun District were selected in the research, the low frequency combined with high frequency ultrasound examination was performed.The diagnostic accuracy of high frequency combined with low frequency ultrasound for patients with acute appendicitis was compared with postoperative pathological findings.Results The diagnostic accuracy of high frequency combined with low frequency ultrasound for periappendicural abscess, simple appendicitis, suppurative appendicitis, gangrenous appendicitis was 95.5%, 94.4%, 97.8%, 97.9%, respectively.The diagnosis accuracy of high frequency combined with low frequency ultrasound for acute appendicitis at prepositional ileum, basin, upward behind cecum, behind ileum was 97.4%, 97.6%, 97.1%, 93.8%, respectively.The accuracy, specificity, sensitivity, the missed diagnosis rate and misdiagnosis rate of high frequency combined with low frequency ultrasound in the diagnosis of acute appendicitis were 96.9%, 90.0%, 96.9%, 3.1%, 10.0%, respectively , and compared with the Results of postoperative pathologic examination, there were no statistically significant differences（all P〉0.05）.Conclusion High frequency combined with low frequency ultrasound in the diagnosis of acute appendicitis has high diagnostic accuracy.

关 键 词：超声检查 阑尾炎 急性病 诊断 

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]