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阑尾炎超声诊断的回顾性分析

Analysis of the Appendicitis Disease with Ultrasound

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【作者】 周荣清王冬梅

【Author】 ZHOU Rong-qing,WANG Dong-mei (Zibo City Central Hospital of Shandong Province,Zibo 255000,China)

【机构】 山东省淄博市中心医院

【摘要】 目的探讨阑尾炎的声像图特征。方法回顾性分析经手术及病理证实为阑尾炎150例患者的声像图特征。结果在这150例病人中,其中135例病人有典型的阑尾炎的直接声像图特征:异常的低回声肿块。其余15例病人阑尾炎的直接声像图不典型,但均有阑尾炎的间接声像图特征:大网膜移位,腹腔积液,肠系膜淋巴结肿大,周围肠管扩张,气体多层回声反射等征象,无异常回声型。间接征象,往往是阑尾炎的伴随声像。结论阑尾炎表现为典型声像图诊断准确率较高,但部分声像图不典型,易造成误诊、漏诊,因而不能仅靠典型的直接声像图作出诊断,而应结合间接声像图及临床来提高阐尾炎的超声诊断准确率。

【Abstract】 Objective To explore the detection of appendicitis disease with ultrasonography.Methods One handred and fifty appendicitis cases were analysed.Result Among the 150 pations,135 cases had direct ultrasonography,USG:Abnormalities hypoechoic mass.15 cases hadnot the typical Direct ultrasonography,USG.But they had indirec ultrasonography,USG:Omentum majus shifting,abdominal hydrops,mesenteric lymph node largement, peripheral diatationofintestine,gases multilayer reecho,without unusual echo type.Indirect ultrasonography,USG often tend to Appendicitis follow. Conclusion The diagnostic accuracy rate of the typical imaging type in some patient was vary high.Correspondingly with pathology,whereas,the misdiagnosis and misseddiagnosis rate of the atypical ultrasonography,USG in some petient should further be improved.Therefore diagnosis rate of appendicitis not only depend on the typical ultrasonography,USG but also indirect ultrasonography,USG

  • 【文献出处】 医学信息(上旬刊) ,Medical Information , 编辑部邮箱 ,2011年03期
  • 【分类号】R445.1;R656.8
  • 【被引频次】2
  • 【下载频次】23
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