Alvarado评分与AIR评分在急性阑尾炎诊断中的价值比较  

Comparison of clinical application value of Alvarado score and AIR score in the diagnosis of acute appendicitis

作　　者：韩非[1] 徐欠欠 赵建国[1] 刘俊[1] Han Fei;Xu Qianqian;Zhao Jianguo;Liu Jun(Department of Gastrointestinal Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430000,China;Department of Pediatric,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430000,China)

机构地区：[1]华中科技大学同济医学院附属协和医院胃肠外科,湖北武汉430000 [2]华中科技大学同济医学院附属同济医院儿科,湖北武汉430000

出　　处：《腹部外科》2019年第6期451-453,464,共4页Journal of Abdominal Surgery

摘　　要：目的比较Alvarado评分与阑尾炎炎症反应(appendicitis inflammatory response,AIR)评分在急性阑尾炎诊断中的应用价值,寻找诊断急性阑尾炎最佳的评分方法。方法分析华中科技大学同济医学院附属协和医院西院胃肠外科在2015年4月至2016年12月收治的210例急性阑尾炎病例的临床资料,手术前均进行Alvarado评分和AIR评分,根据术中所见情况及术后病理结果,比较两种评分方法对急性阑尾炎严重程度的鉴别价值。结果两种评分方法都能区分单纯性与化脓性阑尾炎,但只有AIR评分可以区分化脓性与坏疽性阑尾炎。结论AIR评分比Alvarado评分能更好地区分阑尾炎的严重程度。Objective To compare the application value of Alvarado score assessment and AIR sore assessment in the diagnosis of acute appendicitis,so as to to identify the best scoring method for the diagnosis of acute appendicitis.Methods The clinical data of 210 cases of acute appendicitis treated in Department of Gastrointestinal Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology from April 2015 to December 2016 were retrospectively analyzed.Results Both scoring methods were able to distinguish between simple and suppurative appendicitis,but only the AIR score could distinguish between suppurative and gangrenous appendicitis.Conclusion AIR score can distinguish the severity of appendicitis better than Alvarado score.

关 键 词：Alvarado评分 阑尾炎炎症反应(AIR)评分 急性阑尾炎 诊断 

分 类 号：R657.3[医药卫生—外科学]