High frequency ultrasound diagnosis of acute appendicitis in 108 patients experience.docVIP

 PAGE \* MERGEFORMAT 6 High frequency ultrasound diagnosis of acute appendicitis in 108 patients experience [Keywords:] acute appendicitis, high frequency ultrasound, diagnosis In this paper, our hospital from January 2007 to June 2008, and ultrasound examination of 108 pathologically confirmed cases of acute appendicitis were retrospectively analyzed to sum up experience and improve the ultrasound diagnosis of the disease. 1 Materials and Methods The group of 108 patients, male 57, female 51, aged 5 to 77 years, mean 36.53 years, the shortest duration of 8 hours, up to 3 days, the clinical manifestations are metastatic right lower abdominal pain or right lower abdominal pain. Instruments and Methods: Aloka SSD 3500 ultrasound diagnostic apparatus, the probe frequency of 7.5 ~ 10MHz. Were no special preparation, examination in patients with supine position, first in right lower quadrant in the probe’s point of wheat around the multi-faceted scanning, until the appendix image to measure the diameter and thickness of the appendix to observe the internal structure of the appendix, echo and the circumstances surrounding the appendix, with or without effusion, and abdominal lymph nodes. If necessary, use of color Doppler flow imaging blood flow within the appendix. 2 Results Based on 108 cases of acute appendicitis Ultrasonographic divided into two types: (1 appendix showed varying degrees of finger-like thickening, wall structure is more clear or fuzzy is uneven, some uneven visible hypoechoic wall, mucosa echo rough or uneven thickness, ranging from the strength was intermittent-like, lumen widened to varying degrees, weak or somewhat lower cavity echo-like echo and patchy, some a little fluid around the appendix dark area. (2 appendix irregular or illegible, ill-defined, internal echo clutter, we can see strong echoes of gas and the uneven distribution of the low points of light echo area. 3 Discussion Ultrasonographic appearance