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目的:比较超声检查与x线造影对慢性阑尾炎的诊断价值。方法:选取我院2011年5月至2014年5月收治的疑似慢性阑尾炎患者共60例,对患者进行超声检查和x线造影,对照手术病理学结果。结果:两种方法均可显示阑尾位置、体积、周围黏连、僵硬和腔内粪时的情况,超声能够能更清晰的显示阑尾壁层次、周围腹腔肿大淋巴结、内膜厚度和回声等,对阑尾闭塞和积液效果较好。X线造影能够对阑尾管腔、阑尾位置进行清晰的显示,并对阑尾的功能进行判断。两种方法的准确度的差异不具有统计学意义(P>0.05)。将两种方法联合使用能够提高诊断的准确度。结论:超声检查和X线造影对慢性阑尾炎均具有诊断价值,能从不同的侧面观察阑尾,两种方法的联合使用能够使慢性阑尾炎诊断的准确性提高。
Objective: To compare the diagnostic value of ultrasonography and x-ray in chronic appendicitis. Methods: A total of 60 patients with suspected chronic appendicitis admitted to our hospital from May 2011 to May 2014 were selected. The patients underwent ultrasonography and X-ray angiography, and the control pathology results were compared. Results: Both of the two methods can show the appendix position, volume, peripheral adhesions, stiffness and intra-fecal droppings. Ultrasound can show the appendix wall level more clearly, surrounding enlarged lymph nodes, intima thickness and echo, Right appendix occlusion and effusion better. X-ray angiography can appendix lumen, appendix position clear display, and to determine the function of the appendix. The accuracy of the two methods was not statistically different (P> 0.05). Using both methods together improves diagnostic accuracy. Conclusion: Ultrasonography and radiography have diagnostic value for chronic appendicitis. The appendix can be viewed from different sides. The combination of the two methods can improve the accuracy of diagnosis of chronic appendicitis.