Clinical Application Value of Ultrasound in the Diagnosis of Acute Appendicitis

Jiang-pin XU; Jun MA; Nan XIE; Qian WU; Fan CAO; Rong-ji YAN; Hua WANG

doi:10.12259/j.issn.2095-610X.S20201118

Volume 41 Issue 11

Dec. 2020

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Article Navigation > Journal of Kunming Medical University > 2020 > 41(11): 78-82

Jiang-pin XU, Jun MA, Nan XIE, Qian WU, Fan CAO, Rong-ji YAN, Hua WANG. Clinical Application Value of Ultrasound in the Diagnosis of Acute Appendicitis[J]. Journal of Kunming Medical University, 2020, 41(11): 78-82. doi: 10.12259/j.issn.2095-610X.S20201118

Citation:

Jiang-pin XU, Jun MA, Nan XIE, Qian WU, Fan CAO, Rong-ji YAN, Hua WANG. Clinical Application Value of Ultrasound in the Diagnosis of Acute Appendicitis[J]. Journal of Kunming Medical University, 2020, 41(11): 78-82. doi: 10.12259/j.issn.2095-610X.S20201118

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Clinical Application Value of Ultrasound in the Diagnosis of Acute Appendicitis

doi: 10.12259/j.issn.2095-610X.S20201118

One Ward of Gastrointestinal Surgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2020-10-12
Available Online: 2020-12-03
Publish Date: 2020-11-25

Abstract

Abstract

Objective To explore the clinical value of ultrasound in the diagnosis of acute appendicitis. Methods The clinical data of 423 cases of acute appendicitis treated in our hospital from 2019 to 2020 were retrospectively analyzed to evaluate the diagnostic accuracy of ultrasonography for acute appendicitis. The results of lumen diameter, tube wall thickness, tube wall thickening in the right lower abdominal ileocecal part, local effusion in the right lower abdomen, and local strong echo comparison for different types of appendicitis were analyzed. Results A total of 374 cases of acute appendicitis were detected by ultrasound, and the diagnostic accuracy was 88.4%（374/423）. The lumen diameter and wall thickness（mm）of appendicitis with acute appendicitis were（7.1±1.3）and（3.2±0.9）, the lumen diameter and wall thickness（mm）of appendicitis with acute suppurative appendicitis were（10.0±1.9）and（4.3±1.1）, and the lumen diameter and wall thickness of appendicitis with acute gangrenous appendicitis were（12.4±2.2）and（5.3±1.3）, respectively, with statistically significant differences among the three groups（P < 0.05）. Acute gangrene appendicitis and acute suppurative appendicitis combined with thickening of ileocecal wall, local effusion in the right lower abdomen, local strong echo and lymph node enlargement were all higher than those in acute simple appendicitis, and the differences were statistically significant（P < 0.05）. Conclusion Ultrasonography can provide a clear basis for the diagnosis of different pathological types of acute appendicitis.
- Acute appendicitis,
- Ultrasonography,
- Pathological type

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References(19)

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