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目的探讨高频超声在慢性阑尾炎诊断中的应用价值。方法选取在该院治疗的156例经手术病理证实为慢性阑尾炎患者的超声检查诊断结果进行回顾性分析,总结其声像图表现及特征。结果超声能够显示阑尾图像者120例,36例未显示(25例为体质肥胖者或肠气干扰、11例为盲肠后位阑尾);超声影像特征为阑尾黏膜不均匀增厚、回声增强,管腔狭窄、闭塞和/或宽窄不一、扩张积液,部分有粪石,并可分为硬化型、扩张积液型和结石型。结论超声影像能够准确诊断慢性阑尾炎,具有一定临床应用价值,是对X线造影诊断的一种补充。
Objective To investigate the value of high-frequency ultrasound in the diagnosis of chronic appendicitis. Methods A retrospective analysis was made on the diagnostic results of 156 cases of chronic appendicitis confirmed by surgery and pathology in this hospital. The sonographic findings and characteristics of the patients were retrospectively analyzed. Results Ultrasound images of appendectomy were found in 120 cases, 36 cases were not shown (25 cases of obesity or intestinal obstruction, 11 cases of posterior cecum appendix); ultrasound imaging characterized by uneven appendiceal mucosa thickening, echo enhancement, tube Cavity stenosis, occlusion and / or varying width, expansion of fluid, some fecal stone, and can be divided into sclerosis, expansion of fluid type and stone type. Conclusion Ultrasonography can diagnose chronic appendicitis accurately and has certain clinical value. It is a supplement to X-ray angiography.