急性阑尾炎超声间接征象特征及其临床诊断意义.docVIP

急性阑尾炎超声间接征象特征及其临床诊断意义 　　[摘要]目的 探讨急性阑尾炎的超声间接征象特征及其临床诊断意义。方法 选取2014年1月～2015年12月在我院就诊的74例急性阑尾炎患者作为研究对象，所有患者均进行彩超检查，分析其间接征象以及诊断意义。结果 超声检出组患者的回盲部水肿、局部强回声、局部积液、淋巴结肿大等与手术检出组比较，差异无统计学意义（P0.05）。超声未检出组患者的回盲部水肿、局部强回声、淋巴结肿大、局部积液等与手术检出组比较，差异无统计学意义（P0.05）。超声未检出组患者的回肠蠕动增加检出率与超声检出组比较，差异无统计学意义（P0.05），淋巴结肿大、混合型包块、压痛及反跳痛检出率高于超声检出组，差异有统计学意义（P0.05）。结论 急性阑尾炎患者应用超声间接征象对其诊断具有良好的效果，回盲部水肿、局部强回声、压痛及反跳痛、混合性包块可作为诊断急性阑尾炎的主要观察指标，值得临床推广应用。 　　[关键词]急性阑尾炎；超声检查；诊断意义 　　[中图分类号] R524 [文献标识码] A [文章编号] 1674-4721（2017）12（c）-0087-03 　　[Abstract]Objective To investigate the characteristic and clinical diagnostic significance of ultrasonic indirect signs of acute appendicitis.Methods From January 2014 to December 2015，74 patients with acute appendicitis treated in our hospital were selected as the research objects.All patients were examined by color Doppler ultrasonography，and the indirect signs and diagnostic significance were analyzed.Results The ileocecal edema，local strong echogenicity，local effusion and lymph node enlargement of the patients in the ultrasound detection group were compared with the surgical detection group，and the differences were not statistically significant （P0.05）.The ileocecal edema，local strong echogenicity，local effusion and lymph node enlargement of the patients in the ultrasound undetected group were compared with the surgical detection group，and the differences were not statistically significant （P0.05）.The detection rate of increased peristalsis of the patients in the ultrasound undetected group was compared with the ultrasound detection group，and the difference was not statistically significant （P0.05），while the detection rate of lymph node enlargement，mixed lump，tenderness and rebound tenderness were higher than the patients in the ultrasound detection group，and the differences were statistically significant （P0.05）.Conclusion The indirect signs of appendicitis in acute appendicitis have a good effect on the diagnosis.The ileocecal edema，local strong echogenicity，tenderne