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目的探讨急性阑尾炎的声像图特征及临床价值。方法 131例经手术、病理证实的急性阑尾炎患者均采用高频超声对腹部进行了全面扫查,尤其是对压痛点的重点扫查。结果 131例患者中,急性单纯性阑尾炎6例(5%),急性化脓性阑尾炎99例(76%),阑尾周围脓肿26例(20%)。急性阑尾炎术前是可以诊断的,尤其是化脓性阑尾炎及阑尾周围脓肿。结论超声诊断阑尾炎能够减少患者的痛苦,其方法安全、简便,重复性好,可为临床术前提供客观的诊断依据。
Objective To investigate the characteristics and clinical value of acute appendicitis. Methods A total of 131 cases of acute appendicitis confirmed by surgery and pathology were examined by high frequency ultrasonography, especially the tender examination. Results Among 131 patients, acute appendicitis in 6 cases (5%), acute suppurative appendicitis in 99 cases (76%) and appendectomy in 26 cases (20%). Acute appendicitis can be diagnosed before surgery, especially suppurative appendicitis and appendix abscess. Conclusion Ultrasound diagnosis of appendicitis can reduce the suffering of patients. The method is safe, simple and reproducible. It can provide objective diagnosis for clinical preoperative.