超声高频探头应用在诊断急性阑尾炎中的临床意义.docVIP

精品论文 参考文献 超声高频探头应用在诊断急性阑尾炎中的临床意义 李家琼 宋征蓉 　　（彭州市中医医院功能检查科 四川 彭州 611930） 　　【摘 要】目的：探讨超声高频探头应用在诊断急性阑尾炎中的临床意义。方法：选取我院2013年5月-2014年12月收治的186例经临床病理检查为阑尾炎患者，对患者采用超声高频和低频探头进行诊断检查，对比高频和低频探头诊断的结果。结果：186例患者中超声高频探头诊断阳性173例（93.04%），其中误诊4例（2.31%），漏诊9例（5.20%），经过临床病例检查160例（92.48%）患者为急性阑尾炎。其中单纯性阑尾炎89例(55.62%)，阑尾周围脓肿42例(26.25%)，化脓性和坏疽性阑尾炎29例(18.12%)，在使用超声低频探头共检出急性阑尾炎患者89例，总检出率为55.61%，采用超声高频探头共检出急性阑尾炎患者142例，总检出率为88.75%。高频和低频探头的总检出率对比差异具有统计学意义，Plt;0.01。结论：超声高频探头能够有效地诊断急性阑尾炎患者的病症，极大的减少了误诊率，在临床中具有重要的临床意义。 　　【关键词】超声高频探头；急性阑尾炎；临床意义 　　【中图分类号】R574.61 【文献标识码】A 【文章编号】1004-6194（2015）01-0020-02 　　【Abstract】Objective: To investigate the clinical significance of high frequency ultrasound probe used in the diagnosis of acute appendicitis. Methods: in our hospital from 2013 May -2014 year in December 186 cases with clinical pathological examination for patients with appendicitis, were diagnosed by ultrasonic examination in patients with high and low frequency probe, comparison of high and low frequency probe in the diagnosis results. Results: 186 patients with high frequency ultrasound probe in the diagnosis of 173 cases were positive (93.04%), of which 4 (2.31%) cases of misdiagnosis, missed diagnosis in 9 cases (5.20%), after clinical examination in 160 cases (92.48%) of patients with acute appendicitis. Of which 89 cases of appendicitis (55.62%), 42 cases of appendiceal abscess (26.25%), 29 cases of suppurative and gangrenous appendicitis (18.12%), in the use of ultrasonic frequency probe were detected in patients with acute appendicitis in 89 cases, the total positive rate was 55.61%, there were 142 cases of acute appendicitis were treated by high frequency ultrasound probe, detection the rate is 88.75%. High frequency and low frequency probe detection rate difference was statistically significant, Plt;0.01. Conclusion: high frequency ultrasound can effectively diagnose the disease in patients with acute appendicitis, greatly reducing the rate of misdiagnosis, has important clinical