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高频超声对不同病理类型急性阑尾炎及并发症的诊断价值
许慧君,王光霞
0
天津中医药大学(天津 300193);天津市西青医院超声诊断科(天津 300380);天津市南开医院超声诊断中心(天津 300100)
摘要:
目的:探讨高频超声检查对不同病理类型阑尾炎及并发症的诊断价值。方法:分析经超声诊断并经手术病理证实的 385 例急性阑尾炎的超声特点,主要观察不同类型阑尾炎的阑尾直径大小及阑尾壁层结构的改变。结果:研究急性单纯性阑尾炎 81 例,急性化脓性阑尾炎 228 例,急性坏疽性阑尾炎 76 例,以急性化脓性阑尾炎最高发,并发单纯穿孔 18 例,合并阑尾周围脓肿 9 例(其中 3 例合并腹盆腔脓肿),阑尾炎性包块 5 例。在不同病理类型阑尾炎的超声表现中,随着阑尾直径的增大,阑尾壁层结构受损程度的加重,阑尾的炎症越重。结论:高频超声对不同病理类型急性阑尾炎及并发症的诊断具有重要价值。
关键词:  高频超声  病理类型  急性阑尾炎  并发症  诊断
DOI:10.3969/j.issn.1007-6948.2019.02.006
基金项目:
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.
Key words:  High frequency ultrasound  pathological type  acute appendicitis  complication  diagnosis

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