血吸虫性阑尾病变的超声声像特征探讨

发布时间：2018-01-19 18:20

本文关键词： 血吸虫病血吸虫性肝病阑尾病变超声声像特征　出处：《中国血吸虫病防治杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨血吸虫性阑尾病变的超声声像特征。方法在2012年1月-2015年12月湖州市中心医院经彩超发现的血吸虫性肝病患者中,选择有明确血吸虫病病史及治疗史的患者50例作为血吸虫性肝病组,并选取50例未发现血吸虫性肝病,且来自非血吸虫病流行区、无血吸虫病病史的普通人群作为对照组,对两组行右下腹阑尾超声扫查。采集两组阑尾最大直径、阑尾壁最厚厚度,并观察阑尾壁回声是否均匀等。结果血吸虫性肝病组阑尾腔最小内径为(2.090±0.790)mm,小于对照组;阑尾壁最厚厚度为(1.332±0.313)mm,大于对照组,差异均有统计学意义(t=2.647、-4.526,P均0.05)。血吸虫性肝病组阑尾壁回声欠均匀、结构欠清晰、不均匀增厚者比例以及阑尾腔内有肠内容物者比例均高于对照组(χ~2=12.000、18.537、24.008、4.244,P均0.05)。结论血吸虫性阑尾病变在超声下具有明显的声像特征,超声在判断血吸虫病患者阑尾是否遭受累及,及早发现阑尾病变中有很大价值。
[Abstract]:Objective to investigate the ultrasonographic features of schistosomiasis appendicitis. Methods from January 2012 to December 2015, the patients with schistosomiasis liver disease in Huzhou Central Hospital were detected by color Doppler ultrasound. Fifty patients with clear history and treatment history of schistosomiasis were selected as the group of schistosomiasis liver disease, and 50 cases with non-schistosomiasis were selected from non-schistosomiasis endemic area. The normal population with no history of schistosomiasis was used as the control group. The right lower appendicitis were examined by ultrasonography in both groups. The largest diameter of appendix and the thickest thickness of appendix wall were collected in both groups. Results the minimal diameter of appendix in the schistosomiasis liver disease group was 2.090 卤0.790 mm, which was smaller than that in the control group. The thickest thickness of the appendiceal wall was 1.332 卤0.313 mm, which was higher than that of the control group (P < 0.05). The proportion of the appendix wall in the schistosomiasis liver disease group was higher than that in the control group (蠂 2 + 12.000), and the proportion of the appendix wall was not even, the structure was not clear, the proportion of the appendix was not even thickened, and the proportion of the intestinal contents in the appendix cavity was higher than that in the control group (P < 0.05). Conclusion Schistosoma japonicum appendicitis has obvious sonographic characteristics under ultrasound. [WT5HZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ]. Ultrasound is of great value in judging whether or not the appendix of schistosomiasis patients is involved and early detection of appendicitis.
【作者单位】：浙江省湖州市中心医院浙江大学湖州医院;
【分类号】：R532.21;R574.61
【正文快照】： 经过几十年的艰苦努力,我国的血吸虫病防治工血吸虫病重流行区,防治工作一直延续至今。虽然该作取得了显著成就,但巩固成果、完成消除血吸虫病地区血吸虫病疫情已得到了有效控制,但由于血吸虫的任务还很艰巨[1]。浙北地区地处长江中下游,曾是感染后的免疫病理变化长期存在,并

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