论文部分内容阅读
目的:探究与分析腹部超声在小儿急性阑尾炎诊断中的临床应用。方法:选取我院自2012年8月至2014年8月收治的120例小儿急性阑尾炎患者,采取随机数字表法分为对照组与试验组,对照组仅给予常规查体与临床症状检查,试验组在其基础上加用腹部超声检查,观察与对比两组患者的准确率及误诊率。结果:试验组确诊59例,确诊率为93.33%,误诊1例,误诊率为6.67%,其中误诊患儿为胆囊结石,对照组确诊52例,确诊率为86.67%,误诊8例,误诊率为13.33%,其中误诊2例患儿为胆囊结石,4例患儿为急性肠套叠,2例患儿为Meckel憩室,试验组较对照组相比确诊率明显提升,误诊率明显下降,P<0.05,具有统计学意义。结论:在常规检查基础上加用腹部超声可显著提升小儿阑尾炎的临床诊断率,降低误诊率,为手术治疗提供可靠的临床依据,值得推广。
Objective: To explore and analyze the clinical application of abdominal ultrasound in the diagnosis of acute appendicitis in children. Methods: A total of 120 children with acute appendicitis admitted to our hospital from August 2012 to August 2014 were randomly divided into control group and experimental group. The control group was only given routine physical examination and clinical symptoms examination. In addition, abdominal ultrasound was used to observe and compare the accuracy and misdiagnosis rate of the two groups. Results: In the experimental group, 59 cases were confirmed, the diagnosis rate was 93.33%, misdiagnosis rate was 6.67%, of which gallbladder stones were misdiagnosed. In the control group, 52 cases were diagnosed, the diagnosis rate was 86.67%, misdiagnosis rate was 8, misdiagnosis rate 13.33%, of which 2 were misdiagnosed as gallstones, 4 were children with acute intussusception and 2 were Meckel diverticula. The diagnosis rate of the experimental group was significantly higher than that of the control group, and the misdiagnosis rate was significantly decreased. P <0.05, with statistical significance. Conclusion: The addition of abdominal ultrasound on the basis of routine examination can significantly improve the clinical diagnosis rate and reduce the rate of misdiagnosis in children with appendicitis, and provide a reliable clinical basis for surgical treatment, which is worthy of promotion.