Diagnostic Value of High Frequency Ultrasound in Different Pathological Types of Acute Appendicitis and Complications
XU Hui-jun,WANG Guang-xia
Tianjin University of Traditional Chinese Medicine, Tianjin (300193), China;Department of Anesthesiology, Tianjin Union Medical Center, Tianjin (300121), China
Abstract:
Objective To explore the application value of high frequency ultrasonography in different pathological types of appendicitis and its complications. Methods The ultrasonographic characteristics of 385 cases of acute appendicitis was analyzed and their complications were diagnosed by ultrasound and con?rmed by operation and pathology. The diameter and appendix wall structure of different types of appendicitis were observed. Results Acute simple appendicitis in 81 cases, acute suppurative appendicitis in 228 cases and acute gangrenous appendicitis in 76 cases were diagnosed, among which acute suppurative appendicitis was the highest. Appendicitis complications occurred in 32 cases, simple perforation in 18 cases, and periappendiceal abscess in 9 cases (including 3 cases with abdominal abscess) and appendicitis masses in 5 cases. In the ultrasonic manifestations of different pathological types of appendicitis, with the increase of diameter of the appendix, the degree of damage to the wall structure of the appendix increased, and the in?ammation of the appendix became more and more serious. Conclusion High frequency ultrasound is of great value in the diagnosis of acute appendicitis and its complications in different pathological types.
