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目的:探讨超声对急性阑尾炎的诊断价值。方法:总结分析74例经超声检查右下腹并最终经手术病理证实为急性阑尾炎的患者声像图特征,并对比各型阑尾炎的超声检出率。结果:急性单纯性阑尾炎超声诊断符合率29%,阑尾周围脓肿诊断率77%,坏疽性(阑尾穿孔)诊断率64%。结论:超声对阑尾周围脓肿及阑尾炎穿孔诊断价值较高,而对急性单纯性阑尾炎诊断价值有限。
Objective: To investigate the diagnostic value of ultrasound in acute appendicitis. Methods: 74 patients with right lower quadrant underwent ultrasonography for the diagnosis of acute appendicitis by pathology were analyzed retrospectively. The ultrasound detection rate of each appendicitis was compared. Results: The diagnosis rate of acute simple appendicitis was 29%. The diagnosis rate of abscess around appendix was 77%, and the diagnosis rate of gangrenous appendix (perforated appendix) was 64%. Conclusion: Ultrasonography is of great value in diagnosing perforation of appendectomy and appendicitis, but it is limited in the diagnosis of acute simple appendicitis.