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目的探讨高频超声与腹部压痛点相结合诊断急性阑尾炎的临床价值。方法 2008年1月-2009年11月,对临床疑诊为阑尾炎的138例患者进行急诊右下腹超声检查,将超声诊断与手术及病理结果进行对照。结果高频超声诊断急性阑尾炎的敏感性72%,特异性96%,阳性预测值96%,阴性预测值76%。结论高频超声是诊断急性阑尾炎的方法之一,可协助临床快速诊断急性阑尾炎,为是否手术提供参考依据,对确定切口位置的选择有一定的帮助。
Objective To investigate the clinical value of high frequency ultrasound combined with abdominal tenderness point in the diagnosis of acute appendicitis. Methods From January 2008 to November 2009, 138 patients with clinical suspicion of appendicitis underwent an emergency right lower quadrant ultrasound examination. The ultrasound diagnosis was compared with the surgical and pathological findings. Results High-frequency ultrasound diagnosis of acute appendicitis sensitivity 72%, specificity 96%, positive predictive value 96%, negative predictive value 76%. Conclusion High-frequency ultrasound is one of the methods to diagnose acute appendicitis. It can help clinical diagnosis of acute appendicitis quickly and provide a reference for whether surgery or not. It is helpful to choose the location of incision.