分析腹部超声在急性阑尾炎诊断中的应用价值.docx

分析腹部超声在急性阑尾炎诊断中的应用价值\o分享到微博\o分享到微信\o分享到QQ\o分享到QQ空间

【摘要】目的：分析急性阑尾炎诊断中腹部超声的应用价值。方法：选择2023年1月—2023年12月收治的30例急性阑尾炎患者为研究对象，术前均进行腹部超声检查，以手术检查结果为金标准，计算腹部超声检查的符合率、漏诊率和误诊率。结果：腹部超声诊断单纯性阑尾炎符合率为85.71%，漏诊率和误诊率均为3.33%，诊断化脓性阑尾炎的符合率、漏诊率及误诊率分别为85.71%、0.00%及3.33%，诊断坏疽性阑尾炎的符合率、漏诊率及误诊率分别为80.00%、3.33%及0.00%，诊断阑尾周围脓肿的符合率、漏诊率及误诊率分别为100.00%、0.00%及0.00%，总符合率为86.67%，总漏诊率和总误诊率均为6.67%。结论：腹部超声检查在急性阑尾炎诊断鉴别中符合率较高，具有较高的应用价值。

【关键词】急性阑尾炎；临床诊断；腹部超声

Analysisoftheapplicationvalueofabdominalultrasoundinthediagnosisofacuteappendicitis

LIUXue

YuechengDistrictPeople’sHospital，ShaoxingCity，Shaoxing，Zhejiang312000，China

【Abstract】Objective：Toanalyzetheapplicationvalueofabdominalultrasoundinthediagnosisofacuteappendicitis.Methods：ThirtypatientswithacuteappendicitisadmittedfromJanuary2023toDecember2023wereselectedastheresearchsubjects.Preoperativeabdominalultrasoundexaminationwasperformed，andtheaccuracyrate，misseddiagnosisrateandmisdiagnosisrateofabdominalultrasoundexaminationwerecalculatedbasedonthesurgicalexaminationresultsasthegoldstandard.Results：Theaccuracyrateofabdominalultrasounddiagnosisforsimpleappendicitiswas85.71%，withamisseddiagnosisrateandmisdiagnosisrateof3.33%.Theaccuracyrate，misseddiagnosisrateandmisdiagnosisratefordiagnosingsuppurativeappendicitiswere85.71%，0.00%and3.33%，respectively.Theaccuracyrate，misseddiagnosisrateandmisdiagnosisratefordiagnosinggangrenousappendicitiswere80.00%，3.33%and0.00%，respectively.Theaccuracyrate，misseddiagnosisrateandmisdiagnosisratefordiagnosingappendicealabscesswere100.00%，0.00%and0.00%，respectively.Theoverallaccuracyratewas86.67%，andtheoverallmisseddiagnosisrateandoverallmisdiagnosisratewere6.67%.Conclusion：Abdominalultrasoundexaminationhasahighaccuracyrateinthediagnosisanddifferentiationofacuteappendicitis，andhashighapplicationvalue.

【KeyWords】Acuteappendicitis；C