小儿急性阑尾炎诊断中采取尿常规检验的临床价值  

Clinical Value of Routine Urine Test in the Diagnosis of Acute Appendicitis in Children

作　　者：高鹤 GAO He(Department of Laboratory Medicine,Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学附属医院检验科,辽宁沈阳110032

出　　处：《中国医药指南》2020年第16期120-121,共2页Guide of China Medicine

摘　　要：目的探讨小儿急性阑尾炎诊断中采取尿常规检验的临床价值。方法本组研究纳入64例在我院进行急性阑尾炎治疗的小儿,所有患儿的病例资料研究时间自2018年3月至2019年3月,按照诊断方式不同将所有患儿分成2组。所有患儿均经手术和病理检查结果确诊。对照组32例患儿采用超声技术进行诊断,而研究组32例患儿则采用尿常规检验进行诊断,以手术和病理检查结果为金标准,评估和对比超声检查和尿常规检查对诊断小儿急性阑尾炎的诊断准确率、漏诊率和误诊率,并采用自制满意度调查表评估患儿家长对诊断的满意度。结果研究组诊断小儿急性阑尾炎的准确率为93.75%明显高于对照组65.62%,且其误诊率6.25%明显低于对照组28.12%,数据相比较差异显著(χ2=0.005,5.379;P<0.05)。研究组患儿家长的诊断满意度为77.77%,显著高于对照组患儿家长的满意度,数据对比有明显的差异(χ2=4.654,P<0.05)。结论取尿常规检验方式诊断小儿急性阑尾炎有较高的诊断准确率,误诊率较低,可作为临床诊断小儿急性阑尾炎的首选检查方法,能够为临床诊断和治疗提供重要的依据。Objective To explore the clinical value of routine urine test in the diagnosis of acute appendicitis in children.Methods 64 children with acute appendicitis treated in our hospital were enrolled in this study.The data of all children were studied from March 2018 to March 2019.All children were divided into two groups according to different diagnostic methods.All the children were confirmed by operation and pathological examination.32 cases in the control group were diagnosed by ultrasonography,while 32 cases in the study group were diagnosed by routine urine examination.The diagnostic accuracy,missed diagnosis rate and misdiagnosis rate of children’s acute appendicitis were evaluated and compared by ultrasonography and routine urine examination according to the results of operation and pathology.The parents’satisfaction with the diagnosis was evaluated by self-made satisfaction questionnaire.Degree.Results The diagnostic accuracy of acute appendicitis in the study group was 93.75%higher than 65.62%in the control group,and the misdiagnosis rate was 6.25%lower than 28.12%in the control group.The data were significantly different(χ2=0.005,5.379;P<0.05).The diagnostic satisfaction of parents in the study group was 77.77%,which was significantly higher than that of parents in the control group(χ2=4.654,P<0.05).Conclusion Routine urine examination has a high diagnostic accuracy and a low misdiagnosis rate in the diagnosis of acute appendicitis in children.It can be used as the first choice for clinical diagnosis of acute appendicitis in children,and can provide important basis for clinical diagnosis and treatment.

关 键 词：小儿 急性阑尾炎 尿常规检验 超声诊断 临床价值 

分 类 号：R574.61[医药卫生—消化系统] R446.12[医药卫生—内科学]