超声检查对不同病理类型阑尾炎的诊断价值分析

发布时间：2018-06-29 10:43

本文选题：超声检查 + 阑尾炎　；参考：《临床医药文献电子杂志》2016年54期

【摘要】：目的研究超声检查应用于不同病理类型阑尾炎诊断中的临床价值。方法选取我院2015年1月~2016年4月收治的阑尾炎患者134例作为研究对象,均行超声检查。观察不同疾病类型诊断符合情况及超声诊断特征。结果坏疽性、化脓性、单纯性阑尾炎及慢性阑尾炎疾病诊断符合率分别为94.12%、90.38%、84.21%、81.82%,差异无统计学意义(P0.05);慢性阑尾炎诊断符合率为60.00%,明显低于其他组,差异有统计学意义(P0.05);超声可见管腔扩张多见于慢性阑尾炎,管壁层次模糊多见于化脓性、坏疽性阑尾炎,合并积液多见于坏疽性阑尾炎;坏疽性阑尾炎病灶宽度较单纯性、慢性阑尾炎更高,化脓性、坏疽性阑尾炎管壁厚度高于慢性阑尾炎,差异有统计学意义(P0.05)。结论超声检查应用于不同病理类型阑尾炎中,诊断准确度较高,能够有效进行疾病分型。
[Abstract]:Objective to study the clinical value of ultrasonography in the diagnosis of different pathological types of appendicitis. Methods 134 cases of appendicitis admitted in our hospital from January 2015 to April 2016 were selected as subjects. The diagnostic coincidence and ultrasonic diagnostic characteristics of different disease types were observed. Results the diagnostic coincidence rates of gangrenous, suppurative, simple appendicitis and chronic appendicitis were 94.12 / 90.38 / 84.21 and 81.82, respectively (P0.05), the diagnostic coincidence rate of chronic appendicitis was 60.00g, which was significantly lower than that of other groups. The difference was statistically significant (P0.05). Ultrasound showed that lumen dilatation was more common in chronic appendicitis, fuzziness of wall layer was found in suppurative, gangrenous appendicitis, and effusion was more common in gangrenous appendicitis; the lesion width of gangrenous appendicitis was relatively simple. Chronic appendicitis is higher, suppurative, gangrenous appendicitis wall thickness is higher than chronic appendicitis, the difference is statistically significant (P0.05). Conclusion Ultrasound can be used in different pathological types of appendicitis with high diagnostic accuracy and can be classified effectively.
【作者单位】：黑龙江省鸡西鸡矿医院彩超室;
【分类号】：R656.8;R445.1

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