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Color Doppler ultrasound in acute appendicitis diagnosis
[Keywords:] Color Doppler ultrasound, elderly patients with acute appendicitis
Onset of acute appendicitis, symptoms, signs and laboratory tests are characterized by (1), and its pathological type characteristics, display characteristics of ultrasound, ultrasound diagnostic display rate and the rate of pathological types still continue to study space. In this paper, 89 cases of appendicitis were older color Doppler ultrasound, color Doppler ultrasound to investigate the diagnosis of acute appendicitis in the elderly in the application.
1 Materials and Methods
1.1 General Information
Retrospectively selected from 2004 to 2009 with acute abdomen or medical disorders to our hospital 102 cases of acute appendicitis. Screening ultrasound can be displayed by 89 patients, 41 male and female 48 cases. Aged 55 to 83 years (mean 67 .89 + -3.1 years old patients, 21 patients with varying degrees of abdominal pain in different locations, metastatic right lower abdominal pain and mild to moderate increase in white blood cells, 29 patients had fever, 60 patients with only nausea or abdominal discomfort mass. There were 7 cases were clinically suspected urinary tract stones (3 cases, gallbladder stones (2 cases, ovarian cyst torsion (1 case and acute gastroenteritis (n = 1. All the cases were confirmed by pathology.
1.2 Instruments and methods
Using SONOS 5500 type, PHILIPSHD type and LOGIQ 7 Color Doppler ultrasonography, the frequency 3.5 ~ 7.5 MHz. Patient supine or lateral position to the right lower abdomen and right lower quadrant McNamara points to reach mass or tenderness at the pressure was at the center to do a little vertical, horizontal and clockwise rotation scanning. to observe the lesion location, size, shape, internal echo, and echo around the internal peripheral blood flow signal. female patients as much as possible, filling the bladder to facilitate the disp
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