论文部分内容阅读
目的探讨超声诊断在急性阑尾炎诊断中的临床价值。方法选择我院2015年8月至2016年6月初诊为急性阑尾炎患者169例,进行超声诊断并将诊断结果与手术病理诊断结果比较,计算超声诊断的误诊率和漏诊率。结果在所有患者中单纯性阑尾炎42例,化脓性阑尾炎87例,坏疽性阑尾炎35例,阑尾周围脓肿5例。经过超声诊断后发现单纯性阑尾炎的确诊率为64.3%,漏诊率为28.6%,误诊率为7.1%,化脓性阑尾炎的确诊率为94.2%,漏诊率为4.3%,误诊率为1.5%,坏疽性阑尾炎的确诊率为91.4%,漏诊率为2.9%,误诊率为5.7%,阑尾周围脓肿的确诊率为100%为漏诊率为0,误诊率为0。结论对急性阑尾炎进行超声诊断的准确度高,具有极高的临床价值。
Objective To investigate the clinical value of ultrasonic diagnosis in the diagnosis of acute appendicitis. Methods A total of 169 patients with acute appendicitis were selected from August 2015 to June 2016 in our hospital for ultrasound diagnosis. The diagnostic results were compared with those of surgical pathology. The misdiagnosis rate and misdiagnosis rate of ultrasonic diagnosis were calculated. Results In all patients, 42 cases were simple appendicitis, 87 cases were purulent appendicitis, 35 cases were gangrenous appendicitis and 5 cases were abscess around the appendix. The diagnosis of simple appendicitis was 64.3% after ultrasound diagnosis, the rate of misdiagnosis was 28.6%, misdiagnosis rate was 7.1%, suppurative appendicitis was 94.2%, misdiagnosis rate was 4.3%, misdiagnosis rate was 1.5%, gangrene The diagnosis rate of appendicitis was 91.4%, the rate of misdiagnosis was 2.9%, the rate of misdiagnosis was 5.7%. The rate of diagnosis of abscess around appendix was 100%. The rate of misdiagnosis was 0. Conclusion The diagnosis of acute appendicitis with high accuracy, with high clinical value.