التفاصيل البيبلوغرافية
| العنوان: |
超声在急性阑尾炎诊断中的临床应用价值. (Chinese) |
| Alternate Title: |
Clinical Application Value of Ultrasound in the Diagnosis of Acute Appendicitis. (English) |
| المؤلفون: |
胥江品, 马 俊, 谢 楠, 吴 倩, 曹 凡, 阎容稷, 王 华 |
| المصدر: |
Journal of Kunming Medical University / Kunming Yike Daxue Xuebao; 2020, Vol. 41 Issue 11, p78-82, 5p |
| Abstract (English): |
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. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): |
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。 [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
