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目的:分析超声诊断急性阑尾炎的漏诊原因,以进一步提高急性阑尾炎的诊断水平。方法:总结分析2007-01/2007-12 145例经手术及病理证实为急性阑尾炎的超声检查结果,着重讨论各型阑尾炎的超声表现及漏诊原因。结果:145例急性阑尾炎的患者,均经手术及病理证实。急性蜂窝织炎性阑尾炎67例,慢性阑尾炎急性发作26例,急性坏疽性阑尾炎11例,急性单纯性阑尾炎31例,阑尾周围脓肿10例,误诊1例。超声诊断符合率86.2%。结论:了解急性阑尾炎的漏诊原因,全面仔细的超声检查,对提高急性阑尾炎的超声诊断率有重要意义。
Objective: To analyze the causes of missed diagnosis of acute appendicitis by ultrasound to further improve the diagnosis of acute appendicitis. Methods: The data of 145 cases diagnosed as acute appendicitis confirmed by operation and pathology from January 2007 to December 2007 were analyzed and summarized. The ultrasonographic findings and causes of missed appendicitis were discussed. Results: 145 patients with acute appendicitis were confirmed by surgery and pathology. 67 cases of acute cellulitis appendicitis, 26 cases of acute appendicitis, 11 cases of acute gangrenous appendicitis, 31 cases of acute simple appendicitis, 10 cases of appendiceal abscess and 1 case of misdiagnosis. Ultrasound diagnosis coincidence rate of 86.2%. Conclusion: To understand the causes of missed diagnosis of acute appendicitis, comprehensive and detailed ultrasound examination, to improve the diagnostic rate of acute appendicitis has important significance.