腹部探头和浅表探头超声扫描联合用于急性阑尾炎诊断的临床价值观察  

Clinical Value Observation of Combined Use of Abdominal Probe and Superficial Probe Ultrasound Scanning for the Diagnosis of Acute Appendicitis

作　　者：连文利 LIAN Wen-li(Shicheng County People's Hospital,Ganzhou 342700,Jiangxi Province,China)

机构地区：[1]石城县人民医院,江西赣州342700

出　　处：《罕少疾病杂志》2024年第12期108-109,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨腹部探头和浅表探头超声联合检查在急性阑尾炎(AA)中的应用价值。方法选取2021年8月至2023年8月我院收治的86例疑似AA患者,均行腹部探头、浅表探头超声检查,以手术结果为金标准,统计AA检出情况及诊断效能,并以kappa检验验证不同方法诊断与金标准的一致性。结果86例疑似患者经手术证实70例为AA,其中腹部探头检出65例,阳性率为92.86%(65/70);浅表探头检出67例,阳性率为95.71%(67/70);联合检查检出69例,阳性率为98.57%(69/70);联合检查诊断灵敏度、准确度为97.14%、96.51%,高于腹部探头(87.14%、84.88%)、浅表探头(88.57%、84.88%),有统计学差异(P<0.05);采用kappa检验显示,腹部探头、浅表探头、联合检查诊断与金标准kappa值分别为0.555、0.535、0.888。结论腹部探头联合浅表探头可提高AA诊断价值,减少漏诊、误诊发生,且操作简便、无创伤,值得广泛应用。Objective To explore the application value of abdominal probe and superficial probe ultrasound combined examination in acute appendicitis(AA).Methods 86 suspected AA patients admitted to our hospital from August 2021 to August 2023 were selected,all of whom underwent abdominal and superficial probe ultrasound examinations.The surgical results were used as the gold standard to calculate the detection and diagnostic efficacy of AA.Kappa test was used to verify the consistency between different diagnostic methods and the gold standard.Results Out of 86 suspected patients,70 were confirmed to have AA through surgery,of which 65 were detected by abdominal probes,with a positive rate of 92.86%(65/70);67 cases were detected by superficial probes,with a positive rate of 95.71%(67/70);69 cases were detected through joint examination,with a positive rate of 98.57%(69/70).The sensitivity and accuracy of joint examination diagnosis were 97.14%and 96.51%,which were higher than those of abdominal probe(87.14%,84.88%)and superficial probe(88.57%,84.88%),with statistical differences(P<0.05).According to the kappa test,the values of abdominal probe,superficial probe,combined examination diagnosis,and gold standard kappa were 0.555,0.535,and 0.888,respectively.Conclusion The combination of abdominal probe and superficial probe can improve the diagnostic value of AA,reduce missed diagnosis and misdiagnosis,and is easy to operate and non-invasive,which is worthy of wide application.

关 键 词：急性阑尾炎 腹部探头 浅表探头 联合扫描 诊断价值 

分 类 号：R574.61[医药卫生—消化系统]