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小儿急性阑尾炎超声诊断48例分析
Analysis of ultrasonic diagnosis for acute appendicitis in 48 patients
【摘要】 目的:探讨B超对小儿急性阑尾炎的诊断价值。方法:对48例临床诊断为阑尾炎的小儿进行B超检查,根据声像图大致分为三种:①急性单纯性阑尾炎;②急性化脓性阑尾炎;③急性坏疽性阑尾炎,并与手术病理对照分析。结果:48例中超声诊断急性阑尾炎41例,符合率85%,其中单纯性阑尾炎14例超声符合9例(64%),化脓性阑尾炎25例,超声符合23例(92%),坏疽性阑尾炎4例、急性阑尾炎合并穿孔3例、合并结石2例,超声均符合。结论:B超诊断小儿急性阑尾炎简便易行,不仅诊断符合率高,而且可在一定程度上判断急性阑尾炎的病理性质。
【Abstract】 Objective To explore the value of B ultrasound for acute appendicitis.Methods 48 cases of acute appendicitis were treated with B ultrasound examination and were divided into three kinds according to the features of acoustics graphs:①acute simple appendicitis ;②acute suppurative appendicitis;③acute fever sore appendicitis ;and compared with surgery pathology.Results Among 48 cases,41 were definitely diagnosed by B ultrasound,the diagnosis accuracy was 85%;the diagnosis accuracy of B ultrasound for the pathology quality of pediatric appendicitis were as follows:①64%,②92% and ③100%.Conclusion B ultrasound examination is easy and acceptable which has high diagnostic accurate rate,moreover,it can also judge the pathology quality of appendictis。
- 【文献出处】 安徽卫生职业技术学院学报 ,Journal of Anhui Health Vocational & Technical College , 编辑部邮箱 ,2006年04期
- 【分类号】R726.5;R445.1
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