2017-2018超声诊断阑尾炎66例临床分析  

Clinical Analysis of Ultrasonography for 66 Appendicitis Cases in 2017-2018

作　　者：潘品 PAN Pin(Ultrasonography Department,Shicheng County People’s Hospital,Jiangxi Province,Jiangxi Ganzhou 342700)

机构地区：[1]江西省石城县人民医院超声科,江西赣州342700

出　　处：《中国医疗器械信息》2022年第14期72-74,共3页China Medical Device Information

摘　　要：目的:分析本院2017年~2018年超声诊断阑尾炎的情况。方法:选择在本院进行疑似阑尾炎检查的66例患者为研究主体,时间为2017年2月~2018年12月。全部患者在进入医院后均开展超声检查,并采集患者手术后阑尾组织进行病理切片检查,将病理检查结果作为主要判断依据。从诊断符合率方面对两种检查方式进行比较,同时对阑尾炎各种类型超声检查图像特点实施分析。结果:开展超声检查,在诊断符合率方面,急性坏疽性阑尾炎为100.00%,急性单纯性阑尾炎为75.00%,急性化脓性阑尾炎为88.89%,阑尾癌为0。两种诊断方式在急性坏疽性阑尾炎、急性单纯性阑尾炎以及急性化脓性阑尾炎方面诊断符合率对比无明显差异(P>0.05);在阑尾癌方面,超声诊断符合率低于病理诊断(P<0.05)。坏疽性阑尾炎超声图像提示阑尾肿大,壁厚或是结构被破坏,黏膜厚,出现断续状不均匀回声,能够观察到管壁由于坏死穿孔而出现回声中断部位,并且在局部有液性暗区出现,呈现不规则状。单纯性阑尾炎超声图像提示出现轻度肿大,壁薄,具有清晰的层次结构,为小指状或管状结构,轮廓较清晰,表面光滑,管壁稍增厚,长轴切面能够观察到阑尾基本正常外形,底部为盲端,直径稍有增大,黏膜回声增强尚均匀,腔内能够观察到窄条状液性暗区,内部能够观察到细小点状回声。化脓性阑尾炎超声图像提示阑尾肿大,壁增厚,层次不清晰,黏膜回声不均匀,呈现断续状,腔内存在大量液区,部分有粪石在阑尾内,出现强回声斑。不同类型阑尾炎声像图特点显著。结论:阑尾炎开展超声检查能够明确诊断和进行不同类型鉴别,属于一种快速且有效的影像学诊断方式。Objective:To analyze the clinical value of ultrasonography on diagnosis of appendicitis in 2017-2018.Methods:66 suspected appendicitis patients checked from February 2017 to December 2018 in our hospital were chosen as research subjects.The ultrasonography and pathological section were performed.According to the pathological results,the diagnosis accordance rates based on two examinations were compared;the ultrasound imaging features of appendicitis were analyzed.Results:The ultrasound diagnosis accordance rates of acute gangrenous appendicitis,acute simple appendicitis,acute suppurative appendicitis and appendiceal cancer were 100.00%,75.00%,88.89%and 0;The diagnosis accordance rates of acute gangrenous appendicitis,acute simple appendicitis and appendiceal cancer based on two examinations were not significantly different(P>0.05);The diagnosis accordance rates of acute suppurative appendicitis based on ultrasonography were lower than those based on pathological examinations(P<0.05).The ultrasound imaging features of gangrenous appendicitis indicated the appendix enlargement,wall thickness or damaged structure,thick mucous membrane,interrupted uneven echo,interrupted echo caused by necrosis in the wall,local fluid sonolucent area and irregular shapes.The imaging features of simple appendicitis indicated mild enlargement,thin wall,clear and hierarchical structure in the pinky or tubular way,clear outline,smooth surface,thickened wall,basically normal appendiceal shape in the long axis section,cecum in the bottom and slightly increased diameter,homogeneous echo enhancement in the mucous membrane,strip-like fluid sonolucent area in the cavity and finely punctated echo in the interior area.The imaging features of suppurative appendicitis indicated the appendix enlargement,wall thickness,unclear layer,uneven and interrupted mucosal echo,intra-cavity liquid areas,bezoar in the appendix,strong echo spot,and sound shadow in the rear area.The ultrasound imaging features for different types of appendicitis were apparent.Co

关 键 词：阑尾癌 超声 急性坏疽性阑尾炎 急性化脓性阑尾炎 急性单纯性阑尾炎 

分 类 号：R445.1[医药卫生—影像医学与核医学]