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目的 :探讨超声检查间接征象对老年急性阑尾炎的诊断价值。方法 :选择老年疑似急性阑尾炎患者50例,对其超声影像学检查资料和结果进行回顾性分析,以评价超声检查间接征象对老年急性阑尾炎的诊断价值。结果 :右下腹压痛、右下腹局限性肠管扩张以及右下腹系膜或腹膜脂肪层增厚,并且表现为强回声等是急性阑尾炎的超声间接征象;同时表现有三种超声间接征象的患者其阑尾炎诊断准确率显著高于单一征象和两种征象的诊断准确率(P<0.05)。结论:超声检查间接征象能够很好的反应阑尾周围组织,在老年急性阑尾炎的早期诊断中具有重要的参考价值。
Objective: To investigate the diagnostic value of indirect signs of ultrasound in acute appendicitis in the elderly. Methods: 50 elderly patients with suspected acute appendicitis were selected and the imaging data and results of ultrasound were retrospectively analyzed to evaluate the diagnostic value of indirect signs of ultrasound in the diagnosis of senile acute appendicitis. Results: Right lower quadrant tenderness, limited right lower quadrant intestinal dilatation and thickening of the right lower quadrant of the mesothelium or peritoneal fat layer, and the performance of strong echo is an indirect symptom of acute appendicitis; at the same time there are three kinds of indirect signs of ultrasound diagnosis of appendicitis The accuracy was significantly higher than the single sign and the diagnostic accuracy of both signs (P <0.05). Conclusion: The indirect signs of ultrasound can well reflect the tissue around the appendix, which has important reference value in the early diagnosis of acute appendicitis in the elderly.