超声在急性阑尾炎诊断中的临床应用价值  

Clinical Application Value of Ultrasound in the Diagnosis of Acute Appendicitis

作　　者：胥江品 马俊[1] 谢楠[1] 吴倩 曹凡 阎容稷 王华[1] XU Jiang-pin;MA Jun;XIE Nan;WU Qian;CAO Fan;YAN Rong-ji;WANG Hua(One Ward of Gastrointestinal Surgery,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明医科大学第二附属医院胃肠外科一病区,云南昆明650101

出　　处：《昆明医科大学学报》2020年第11期78-82,共5页Journal of Kunming Medical University

基　　金：云南省应用基础研究基金资助项目(201401UH00302)。

摘　　要：目的探讨超声在急性阑尾炎诊断中的临床应用价值。方法回顾性分析2019年至2020年昆明医科大学第二附属医院所收治的423例急性阑尾炎术后临床资料,评价超声对急性阑尾炎诊断准确率,分析超声对不同类型阑尾炎的管腔直径,管壁厚度结果以及右下腹回盲部管壁增厚,右下腹局部积液,局部强回声对比差异。结果超声共检出急性阑尾炎374例,诊断准确率为88.4%(374/423)。急性阑尾炎阑尾管腔直径、管壁厚度(mm)分别为:(7.1±1.3)、(3.2±0.9),急性化脓性阑尾炎阑尾管腔直径、管壁厚度(mm)分别为:(10.0±1.9)、(4.3±1.1),急性坏疽性阑尾炎管腔直径、管壁厚度(mm)分别为:(12.4±2.2)、(5.3±1.3),三组结果比较差异有统计学意义(P<0.05)。急性坏疽性阑尾炎和急性化脓性阑尾炎合并回盲部管壁增厚,右下腹局部积液,局部强回声,淋巴结肿大的比例均高于急性单纯性阑尾炎,差异有统计学意义(P<0.05)。结论超声能够为不同病理类型急性阑尾炎的诊断提供可靠的参考依据。Objective To explore the clinical value of ultrasound in the diagnosis of acute appendicitis.Methods The clinical data of 423 cases of acute appendicitis treated in our hospital from 2019 to 2020 were retrospectively analyzed to evaluate the diagnostic accuracy of ultrasonography for acute appendicitis.The results of lumen diameter,tube wall thickness,tube wall thickening in the right lower abdominal ileocecal part,local effusion in the right lower abdomen,and local strong echo comparison for different types of appendicitis were analyzed.Results A total of 374 cases of acute appendicitis were detected by ultrasound,and the diagnostic accuracy was 88.4%(374/423).The lumen diameter and wall thickness(mm)of appendicitis with acute appendicitis were(7.1±1.3)and(3.2±0.9),the lumen diameter and wall thickness(mm)of appendicitis with acute suppurative appendicitis were(10.0±1.9)and(4.3±1.1),and the lumen diameter and wall thickness of appendicitis with acute gangrenous appendicitis were(12.4±2.2)and(5.3±1.3),respectively,with statistically significant differences among the three groups(P<0.05).Acute gangrene appendicitis and acute suppurative appendicitis combined with thickening of ileocecal wall,local effusion in the right lower abdomen,local strong echo and lymph node enlargement were all higher than those in acute simple appendicitis,and the differences were statistically significant(P<0.05).Conclusion Ultrasonography can provide a clear basis for the diagnosis of different pathological types of acute appendicitis.

关 键 词：急性阑尾炎 超声检查 病理类型 

分 类 号：R656.8[医药卫生—外科学]