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目的分析小儿急性阑尾炎超声诊断的直接、间接征象,为临床诊断提供参考。方法回顾性分析63例小儿急性阑尾炎患儿的术前超声诊断报告。结果在63例急性阑尾炎患儿中,有44例超声检查表现出明确的阑尾炎直接征象;13例超声检查有间接征象,其中9例超声提示右下腹有混合回声包块,3例超声提示右下腹肠壁水肿、腹腔积液,1例超声提示气体多层反射回声;还有6例超声检查未见明显异常。结论小儿急性阑尾炎的超声诊断中,间接征象与直接征象同样重要,应根据患儿的个体特征,做到超声直接征象与间接征象相结合进行,并注意总结、积累临床经验,以有效提高诊断率。
Objective To analyze the direct and indirect signs of ultrasound diagnosis of acute appendicitis in children and provide reference for clinical diagnosis. Methods A retrospective analysis of 63 cases of pediatric acute appendicitis in children with preoperative diagnostic ultrasound report. Results Of the 63 children with acute appendicitis, 44 cases showed direct signs of appendicitis; 13 cases had indirect signs of ultrasound, of which 9 cases showed mixed echogenic mass in the right lower quadrant and 3 cases showed right lower quadrant with ultrasound Intestinal wall edema, peritoneal effusion, 1 case of gas multi-echo echogenic tips; there were 6 cases of ultrasound showed no significant abnormalities. Conclusions Indirect signs in children with acute appendicitis are as important as the direct signs in the diagnosis of acute appendicitis. According to the individual characteristics of the children, the direct and indirect signs of ultrasound should be combined. At the same time, we should summarize and accumulate clinical experience to effectively improve the diagnostic rate .