CAJ | 학술논문

目的：探讨超声在诊断急性阑尾炎中的应用价值。方法：回顾性分析56例经手术病理证实的急性阑尾炎患者的超声征象，预测急性阑尾炎的病理类型。结果：靶环征主要出现在单纯性和化脓性急性阑尾炎中。阑尾周围积液主要出现在化脓性和坏疽性急性阑尾炎中。56例中，有直接超声征象者54例，占96.4%，指状低回声肿块51例，靶环征45例，管腔内强回声伴声影17例，阑尾管腔扩张积液8例，肠腔积气蠕动减慢2例；无直接征象者2例，仅显示阑尾周围积液，占3.6%。结论：靶环征、阑尾周围积液可提示急性阑尾炎的病理类型。
목적：탐토초성재진단급성란미염중적응용개치。방법：회고성분석56례경수술병리증실적급성란미염환자적초성정상，예측급성란미염적병리류형。결과：파배정주요출현재단순성화화농성급성란미염중。란미주위적액주요출현재화농성화배저성급성란미염중。56례중，유직접초성정상자54례，점96.4%，지상저회성종괴51례，파배정45례，관강내강회성반성영17례，란미관강확장적액8례，장강적기연동감만2례；무직접정상자2례，부현시란미주위적액，점3.6%。결론：파배정、란미주위적액가제시급성란미염적병리류형。
Obejective:To study the diagnostic value of ultrasound in acute appendicitis. Methods:56 patients with acute ap-pendicitis who had received ultrasound examination and pathological proven were randomized selected. And the pathological types of acute appendicitis were predicated. Results:Target-like sign suggested the present of acute simple appendicitis or acute phlegmonous appendicitis. Effusion around the appendix suggested the present of acute phlegmonous appendicitis or acute gan-grenous appendicitis. Of the 56 patients,54 cases had the direct ultrasound features,which accounted for 96.4%,51 case with finger-like hypoechoic mass lesion,45 cases with target-like sign,17 cases with strong echoes and shadows in the appendix,8 cases with dilation and effusion in the appendix,2 cases with pneumatosis and slow movement. 2 patients had effusion around the appendix as the indirect features,which accounted for 3.6%. Conclusions:Target-like sign and effusion around the appendix indicates the pathological types of acute appendicitis.