高频超声在慢性阑尾炎中的诊断价值  

作　　者：金怡 

机构地区：[1]浙江省温岭市第一人民医院,317500

出　　处：《浙江临床医学》2021年第7期1028-1029,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨高频超声诊断慢性阑尾炎的应用价值。方法选取2017年4月至2018年4月慢性阑尾炎患者100例,指导患者采取仰卧位,分别使用两种探头对患者全腹进行扫查,观察患者阑尾管腔直径、蠕动情况,同时观察阑尾管腔是否见粪石影像及管腔周围是否存在积液。结果高频超声诊断阳性74例,阴性26例,阳性患者中尾硬化型24例、扩张积液型20例、结石型30例。低频超声诊断性阳63例,阴性37例,阳性患者中阑尾硬化型20例、扩张积液型21例、结石型22例。病理检查,阑尾硬化型32例,扩张积液型31例,结石型33例,4例未能获得明确病理诊断。高频超声灵敏度、准确率、kappa值高于低频超声;联合诊断的灵敏度、特异度、准确率、kappa值高于单一使用高频或低频超声。结论高频与低频超声均可用于诊断慢性阑尾炎,但高频超声诊断慢性阑尾炎优于低频超声,联合诊断能获得更高的符合率,从而更准确判断患者病情,减少漏诊、误诊概率。Objective To explore the application value of high frequency and low frequency ultrasound probe and joint diagnosis of chronic appendicitis.Methods A total of 100 patients with chronic appendicitis in our hospital from April 2017 to April 2018 were selected as research objects.The patients were instructed to take the supine position,and two probes were used to scan the whole abdomen of the patients,respectively,to observe the diameter and peristalsis of the appendiceal lumen of the patients,and to observe whether there was fecalite image in the lumen of the appendix and whether there was efRision around the lumen.Results Among the 100 patients,74 cases were diagnosed as positive by high frequency probe,26 cases were negative,24 cases were caudal sclerosis type,20 cases were dilated effusion type and 30 cases were stone type;among the 100 patients,63 cases were diagnosed as positive by low frequency probe,37 cases were negative,20 cases were caudal sclerosis type,21 cases were dilated efRision type and 22 cases were stone type.According to the clinicopathological examination,the appendix sclerosis type was 32 cases,the dilatation effusion type was 31 cases,and the calculous type was 33 cases.No definite pathological diagnosis was obtained in 4 cases.The sensitivity,accuracy and kappa value of high frequency probe were significantly higher than those oflow frequency probe;the sensitivity,specificity,accuracy and kappa value of combined diagnosis were significantly higher than those of single high frequency probe or low frequency probe.Conclusion Both high-frequency probe and low-frequency probe can be used for the diagnosis of chronic appendicitis,but the high frequency probe has a higher coincidence rate and efficiency in the diagnosis of chronic appendicitis.Meanwhile,combined use can obtain a higher coincidence rate,so as to more accurately judge the disease of patients and reduce the probability of missed diagnosis and misdiagnosis.

关 键 词：高频超声探头 慢性阑尾炎 联合诊断 

分 类 号：R65[医药卫生—外科学]