不同类型阑尾炎性病变的彩色多普勒超声特征

doi:10.3969/j.issn.1674-1633.2015.08.019

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摘要目的探讨不同类型阑尾炎性病变的彩色多普勒超声特征。方法回顾性分析2011年7月～2012年7月于我院经腹腔镜手术确诊的41例阑尾炎性病变患者的彩超检查结果，并与术后病理结果进行对比。结果 41例患者中，超声提示单纯性阑尾炎33例，化脓性阑尾炎8例。术后病理诊断单纯性阑尾炎31例，化脓性阑尾炎10例。结论彩色多普勒超声可较好地检出各种类型的阑尾炎性病变，诊断符合率较高，可为临床手术提供重要的参考依据，值得推广。

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	付岩松
	曾繁莹
	王军艳
	孙心平

关键词 ：阑尾炎性病变, 超声特征, 单纯性阑尾炎, 化脓性阑尾炎

Abstract：Objective To evaluate the color Doppler ultrasonic features of different clinical types of appendicitis lesions. Methods Color Doppler ultrasonic images of 41 cases of patients with appendicitis lesions who had been confirmed by laparoscopic operation in the hospital from July 2011 to July 2012 were retrospectively analyzed and compared with post-operative pathological results. Results Among all the 41 cases, there were 33 cases with simple appendicitis and 8 purulent appendicitis according to the ultrasonic imaging; while the post-operative pathologically-diagnosed results indicated 31 cases of simple appendicitis and 10 purulent appendicitis. Conclusion Color Doppler ultrasound demonstrated its superiority of higher diagnosis coincidence rate in detection of various types of appendicitis lesions, which deserved wider popularization.

Key words： appendicitis lesions ultrasonic features simple appendicitis purulent appendicitis

收稿日期: 2014-02-27

:	R445.1
	R574.61

通讯作者: 孙心平 E-mail: 13811940920@126.com

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引用本文:

付岩松，曾繁莹，王军艳，孙心平. 不同类型阑尾炎性病变的彩色多普勒超声特征[J]. 中国医疗设备, 2015, 30(8): 62-63.
FU Yan-song, ZENG Fan-ying, WANG Jun-yan, SUN Xin-ping. Color Doppler Ultrasonic Features of Different Clinical Types of Appendicitis Lesions. China Medical Devices, 2015, 30(8): 62-63.

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http://cs.china-cmd.org/zgylsb/CN/10.3969/j.issn.1674-1633.2015.08.019 或 http://cs.china-cmd.org/zgylsb/CN/Y2015/V30/I8/62

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[6]	张媛,劳伟,李培玉,等.超声间接征象对诊断急性阑尾炎的应用价值[J].中国医疗设备,2013,28(2):135-136,96.
[7]	秦胜亚,张如兰.超声显像对急性阑尾炎的诊断及误漏诊分析[J].中华全科医学,2011,9(9):1462-1463.
[8]	王金瑜.超声检查对阑尾炎的诊断价值[J].中国基层医药,2008,15(1):99.
[1]	张显敏,李栋,李平,等.超声检查在急性阑尾炎诊断中的价值[J].新疆医学,2013,43(5):79-80.
[3]	徐智章.现代腹部超声诊断学[M].北京:科学出版社,2001:277.
[4]	de Dombal FT.The OMGE acute abdominal pain survey. Progress report,1986[J].Scand J Gastroenterol Suppl,1988,144:35-42.
[2]	Nuernberg D, Ignee A,Dietrich CF.Current status of ultrasound in gastroenterology-bowel and upper gastrointestinal tract-part 2[J].Z Gastroenterol,2008,46(4):355-366.