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目的:探讨腹腔灌注条件下超声检查对急性阑尾炎的诊断。方法:采用0.2%甲硝唑溶液行右下腹腹腔灌注并在此条件下利用高频和低频超声对阑尾及其临近组织进行探查,患者均经手术和病理证实。结果:腹腔灌注条件下超声诊断符合率为93.90%(77/82),普通条件下超声诊断符合率为80.49%(66/82)(P<0.05)。结论:腹腔灌注条件下超声检查对急性阑尾炎的诊断准确率明显提高。
Objective: To investigate the diagnosis of acute appendicitis by ultrasound in peritoneal perfusion. Methods: The right lower quadrant was perfused with 0.2% metronidazole solution and the appendix and its adjacent tissues were probed by high-frequency and low-frequency ultrasonography under these conditions. All patients were confirmed by operation and pathology. Results: The coincidence rate of ultrasonic diagnosis under abdominal perfusion was 93.90% (77/82). The coincidence rate of ultrasonic diagnosis under general conditions was 80.49% (66/82) (P <0.05). Conclusion: The diagnostic accuracy of ultrasonography for acute appendicitis in peritoneal perfusion is obviously improved.