CAJ | 학술논문

目的：研究分析阑尾炎临床超声图像情况，为阑尾炎超声诊断提供参考。方法2011年～2012年我院接收了82例阑尾炎超声图像诊断患者，对这些患者的超声图像和病理结果进行比较、观察、分析。结果单纯性阑尾炎、急性化脓性阑尾炎的声像图存在差异性，阑尾体积小、位置不定，加上肠管有气体感染，所以会有机率出现假阴结果，全部患者接受超声诊断后，有66例表现出阑尾病变，准确率是80.49%，共有16例漏诊病例，有9例是急性单纯性阑尾炎，3例慢性阑尾炎，3例回盲肠后位，1例肝下阑尾。结论各类阑尾炎都有各自的声像特点，急诊化脓性阑尾炎患者的声像图比急性单纯性阑尾炎更加明显，使用高低频探头进行扫查，对回盲肠蠕动情况进行观察分析，确定右下腹是否有不均质高回声团，根据临床表现进行综合判断。
목적：연구분석란미염림상초성도상정황，위란미염초성진단제공삼고。방법2011년～2012년아원접수료82례란미염초성도상진단환자，대저사환자적초성도상화병리결과진행비교、관찰、분석。결과단순성란미염、급성화농성란미염적성상도존재차이성，란미체적소、위치불정，가상장관유기체감염，소이회유궤솔출현가음결과，전부환자접수초성진단후，유66례표현출란미병변，준학솔시80.49%，공유16례루진병례，유9례시급성단순성란미염，3례만성란미염，3례회맹장후위，1례간하란미。결론각류란미염도유각자적성상특점，급진화농성란미염환자적성상도비급성단순성란미염경가명현，사용고저빈탐두진행소사，대회맹장연동정황진행관찰분석，학정우하복시부유불균질고회성단，근거림상표현진행종합판단。
Objective To study appendicitis clinical ultrasound images,and to provide a reference for appendicitis ultrasonography.Methods Received 82 cases of patients diagnosed with appendicitis ultrasound image from 2011 to 2012 in our hospital,ultrasound image and pathological findings in these patients were compared,observed and analyzed. Results There are differencesin simple appendicitis and acute suppurative appendicitis sonographic. Smal size of appendix,location uncertain,with intestinal gas infection had chance of a false negative result. There were 66 cases showed lesions appendix,the accuracy rate was 80.49%,a total of 16 cases of missed cases. There were 9 cases of acute simple appendicitis,3 cases of chronic appendicitis,3 cases of posterior ileocecal,1 case of liver appendix under.Conclusion Al kinds of appendicitis have their own audio and video features,emergency suppurative appendicitis in patients with sonographic more pronounced than acute simple appendicitis,using high-frequency scanning probe. For ileocecal bowel movements are observed and analyzed to determine whether there is a right lower quadrant hyperechoic heterogeneous group,and need comprehensive judgments based on clinical manifestations.