[医学保健]闌尾腫大不全是急性發炎.pptVIP

闌尾腫大不全是急性發炎 澄清醫院 appendicitis: 6-7mm diameter Sensitivity:80% to 95% Specifity:68% to 88% Rad.2001,218,757-762 But ? echogenecity ? .1 mucosa-black 2 SM-white 3 Pm-black Mucosa edema-three layers M+sm edema---hypoechoic All layers – bright fat nearby Enlarge appendix: 1 Edema?cirrhosis,peritonitis 2 Hypertrophic?lymphoid 3 Inflammation 4 obstruction?fecalith, ca. Spontaneous regression 8% 38% recurrent within 1 year Rad. 2000,215,349-352 Specificity 88% to 95% spontaneous regress 8% Medical treatment for selected ??cases Mild Clinical peritonitis Three layers Diameter Echoic density for hyperplasia and edema Long history Clinical regression fecalith.+ 72%,-26% recurrent J. pedi. Surg.2005,40,1612 * *