中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
9期
1354-1356,后插2
,共4页
超声检查%阑尾炎%儿童
超聲檢查%闌尾炎%兒童
초성검사%란미염%인동
Ultrasonography%Appendicitis%Children
目的 探讨小儿阑尾炎的声像图特征及临床诊断价值.方法 对123例临床拟诊阑尾炎并经超声检查,最后获得临床病理诊断的123例儿童病例,分析阑尾炎声像图特征,并与手术及病理结果对照.结果 超声诊断阑尾炎114例,6例阑尾正常,3例右下腹可见网膜增强回声及盆腔积液,但阑尾正常.病理诊断阑尾炎115例,其中单纯性阑尾炎3例,化脓性阑尾炎67例,坏疽性阑尾炎45例,64例合并穿孔,穿孔率55.7％ (64/115).55例合并粪石(47.8％).临床误诊断8例(正常阑尾),其中1例阑尾美克尔憩室,1例原发性腹膜炎,1例过敏性紫癜引起的肠壁水肿增厚,5例临床误诊断(无腹腔疾病).超声诊断的敏感性99.1％、特异性88.9％、准确性分别为98.4％.结论 不同临床病理分型的阑尾炎有相对映的超声声像图特征,阑尾炎超声诊断方便、可靠,对小儿患者更适宜.
目的 探討小兒闌尾炎的聲像圖特徵及臨床診斷價值.方法 對123例臨床擬診闌尾炎併經超聲檢查,最後穫得臨床病理診斷的123例兒童病例,分析闌尾炎聲像圖特徵,併與手術及病理結果對照.結果 超聲診斷闌尾炎114例,6例闌尾正常,3例右下腹可見網膜增彊迴聲及盆腔積液,但闌尾正常.病理診斷闌尾炎115例,其中單純性闌尾炎3例,化膿性闌尾炎67例,壞疽性闌尾炎45例,64例閤併穿孔,穿孔率55.7％ (64/115).55例閤併糞石(47.8％).臨床誤診斷8例(正常闌尾),其中1例闌尾美剋爾憩室,1例原髮性腹膜炎,1例過敏性紫癜引起的腸壁水腫增厚,5例臨床誤診斷(無腹腔疾病).超聲診斷的敏感性99.1％、特異性88.9％、準確性分彆為98.4％.結論 不同臨床病理分型的闌尾炎有相對映的超聲聲像圖特徵,闌尾炎超聲診斷方便、可靠,對小兒患者更適宜.
목적 탐토소인란미염적성상도특정급림상진단개치.방법 대123례림상의진란미염병경초성검사,최후획득림상병리진단적123례인동병례,분석란미염성상도특정,병여수술급병리결과대조.결과 초성진단란미염114례,6례란미정상,3례우하복가견망막증강회성급분강적액,단란미정상.병리진단란미염115례,기중단순성란미염3례,화농성란미염67례,배저성란미염45례,64례합병천공,천공솔55.7％ (64/115).55례합병분석(47.8％).림상오진단8례(정상란미),기중1례란미미극이게실,1례원발성복막염,1례과민성자전인기적장벽수종증후,5례림상오진단(무복강질병).초성진단적민감성99.1％、특이성88.9％、준학성분별위98.4％.결론 불동림상병리분형적란미염유상대영적초성성상도특정,란미염초성진단방편、가고,대소인환자경괄의.
Objective To explore the correlation between ultrasonographic characteristics and pathologic types of pediatric appendicitis.Methods 123 pediatric patients who were suspected of appendicitis meanwhile obtained ultrasonography scan and got final diagnosis were enrolled in this study.The characteristics of ultrasonograghy were analyzed,classified and compared with surgical and pathological results.Results All cases were confirmed by surgery and pathology.Appendicitis was comfirmed in 115 patients,including simple appendicitis in 3 cases,purulent appendicitis in 67 cases and gangrenous appendicitis in 45 cases.Appendicitis was diagnosed by ultrasonography in 114 patients and excluded in 9 patients.The sensitivity,specificity and accuracy of ultrasonography in diagnosis of appendicitis was 99.1％ (113/114),88.9 ％ (8/9),98.4 ％ (121 / 123),respectively.Ultrasonographic characteristics of pediatric appendicitis were correlated well with the pathologic types.Conclusion Ultrasonography has great value in diagnosis and classification of pediatric appendicitis.
