摘要
目的分析急性阑尾炎开展超声腹部和浅表探头联合扫描的诊断效果。方法选择本院接收的82例疑似急性阑尾炎病患为研究主体,2019年4月研究开始,并于2021年4月完成。全部疑似病患在进入医院后均分别选择腹部超声探头、浅表探头和腹部浅表联合检查方式进行扫描,开展手术治疗并实施病理检查,将病理检查结果作为诊断准确性的主要依据。分析病理检查结果;分析腹部探头、浅表探头以及联合扫描的检查情况;对比腹部探头、浅表探头以及联合扫描诊断效能;对比腹部探头、浅表探头以及联合扫描在不同急性阑尾炎类型方面的检出情况。结果手术病理检查结果提示急性阑尾炎病患有70例(85.37%),其中急性单纯性阑尾炎有21例(30.00%)、急性化脓性阑尾炎有17例(24.29%)、坏疽和穿孔性阑尾炎有28例(40.00%)、阑尾周围脓肿有4例(5.71%)。腹部探头、浅表探头以及联合扫描在诊断敏感度、阴性预测值以及准确度方面比较存在明显差异(P<0.05)。单一扫描诊断敏感度、阴性预测值、准确度均低于联合扫描,腹部探头诊断特异性以及阳性预测值均高于腹部探头、浅表探头(P<0.05)。腹部探头、浅表探头以及联合扫描在急性单纯性阑尾炎、急性化脓性阑尾炎、坏疽和穿孔性阑尾炎方面检出率比较存在明显差异(P<0.05)。联合扫描急性单纯性阑尾炎检出率高于腹部探头,联合扫描在急性化脓性阑尾炎、坏疽和穿孔性阑尾炎方面检出率均高于腹部探头、浅表探头(P<0.05)。结论急性阑尾炎采用超声腹部和浅表探头联合扫描,能够提升诊断准确性,发挥一定诊断价值。
Objective To analyze the diagnostic effect of combined scanning of ultrasound abdomen and superficial probe in acute appendicitis.Methods Selecting 82 patients with suspected acute appendicitis received by our hospital from April 2019 to April 2021.All suspected patients chose the joint examination of abdominal ultrasound probe,superficial probe and superficial abdomen respectively to carry out surgical treatment and pathological examination after entering the hospital,taking the pathological examination results as the main basis for diagnostic accuracy.Analyzing pathological examination results and examination of abdominal probe,superficial probe and combined scan;Comparing diagnostic effectiveness of abdominal probe,superficial probe and combined scan;Comparing detection of abdominal probe,superficial probe and combined scan in different types of acute appendicitis.Results The surgical pathological examination results indicated that there were 70 patients(85.37%)of acute appendicitis,including 21 acute simple appendicitis(30.00%),17 acute purulent appendicitis(24.29%),28 gangrene and perforation appendicitis(40.00%),and 4 periappendiceal abscess(5.71%).The abdominal probe,superficial probe,and combined scan showed significant differences in diagnostic sensitivity,negative predictive value,and accuracy(P<0.05).The diagnostic sensitivity,negative predictive value and accuracy of combined scan were lower than that of combined scan,and the diagnostic specificity and positive predictive value of abdominal probe were higher than those of abdominal probe and superficial probe(P<0.05).The abdominal probe,superficial probe and combined scan varied significantly in acute simple appendicitis,acute suppurative appendicitis,gangrene and perforated appendicitis(P<0.05).The detection rate of combined scan acute simple appendicitis was higher than the abdominal probe,the detection rate of combined scan acute suppurative appendicitis,gangrene and abdominal and superficial appendicitis was higher than abdominal probe and superficial probe(P<0.05).Conclusion Acute appendicitis uses ultrasonic abdomen and superficial probe combined scan,which can improve the diagnostic accuracy and play a certain diagnostic value.
作者
李新芬
LI Xinfen(Department of Ultrasound,Affiliated Hospital of Xichuan County Health Secondary Vocational School,Nanyang Henan 474400,China)
出处
《临床研究》
2022年第2期112-115,共4页
Clinical Research
关键词
准确性
急性阑尾炎
联合扫描
浅表探头
腹部
超声
accuracy
acute appendicitis
combined scan
superficial probe
abdomen
ultrasound
作者简介
李新芬(1978-),女,汉族,河南南阳人,主治医师,本科。研究方向:腹部及浅表部位。
