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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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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[1]	马晓慧. 腹部CT在急性阑尾炎诊断治疗中的积极意义和诊断要点探讨[J].临床医药文献电子杂志,2020,7(20):123-125.
[2]	曹勇,王克蓉,苏剑,等. 高频与低频彩超联用诊断急性阑尾炎105例分析[J].现代医用影像学,2017,26(3):790-792.
[3]	夏磊. 经腹部浅表超声在急性阑尾炎临床诊断中的价值[J].牡丹江医学院学报,2019,40(3):85-87.
[4]	吕晓梅. 不同病理类型急性阑尾炎的超声图像特征观察[J].中国医药指南,2013,11(31):455-456.
[5]	蔡志南. 彩色多普勒超声在急性阑尾炎临床诊断中的应用价值[J].中国医药指南,2018,16(1):54-55.
[6]	张文婷. 二维及彩色多普勒超声诊断阑尾炎的价值[J].世界最新医学信息文摘,2018,18(54):172-173.
[7]	Hwang M E. Sonography and Computed Tomography in Diagnosing Acute Appendicitis[J]. Radiol Technol,2018,89(3):224-237.
[8]	Trout A T,Sanchez R,Ladino-Torres M F,et al. A critical evaluation of US for the diagnosis of pediatric acute appendicitis in a real-life setting:how can we improve the diagnostic value of sonography?[J]. Pediatric Radiology,2012,42(7):813-823. doi: 10.1007/s00247-012-2358-6
[9]	龙安军,项国靓,刘窗,等. 多层螺旋CT在诊断急性阑尾炎中的价值探讨[J].现代医用影像学,2016,25(6):1162-1163.
[10]	Augustin T,Cagir B,Vandermeer T J. Characteristics of perforated appendicitis:Effect of delay is confounded by age and gender[J]. Journal of Gastrointestinal Surgery,2011,15(7):1223-1231. doi: 10.1007/s11605-011-1486-x
[11]	刘波. 超声间接征象对急性阑尾炎的诊断价值研究[J].影像研究与医学应用,2018,2(17):28-29. doi: 10.3969/j.issn.2096-3807.2018.17.015
[12]	宋希根. 急性阑尾炎行CT与超声诊断临床比较[J].淮海医药,2017,35(2):189-190.
[13]	苏红,吕开红,杨勇. 彩色多普勒超声诊断小儿急性阑尾炎的临床应用价值[J].临床医学研究与实践,2017,2(33):151-152.
[14]	辛洪兵,朱德仓. 高低频超声联合检查对急性阑尾炎诊断价值[J].影像研究与医学应用,2020,4(19):225-226. doi: 10.3969/j.issn.2096-3807.2020.19.129
[15]	李淑杰. 高、低频超声联合检查在急性阑尾炎诊断中的临床价值分析[J].影像研究与医学应用,2020,4(02):223-224.
[16]	于英,王宇. 高频超声与低频超声用于诊断急性阑尾炎的价值分析[J].中国处方药,2017,15(8):129-130. doi: 10.3969/j.issn.1671-945X.2017.08.093
[17]	梁华波. 螺旋CT诊断和鉴别诊断急性右下腹疼痛的价值[J].世界最新医学信息文摘,2015,15(95):146-146.
[18]	许慧君,王光霞. 高频超声对不同病理类型急性阑尾炎及并发症的诊断价值[J].中国中西医结合外科杂志,2019,25(02):145-150. doi: 10.3969/j.issn.1007-6948.2019.02.006
[19]	寇智勇,王志强,李文亮,等. 胃癌阑尾转移并发急性阑尾炎1例[J].昆明医科大学学报,2015,36(08):137-138. doi: 10.3969/j.issn.1003-4706.2015.08.041

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1.	戴志发. 膜外腹腔镜疝气修补术对腹股沟疝患者术后并发症的影响. 中国医药指南. 2024(32): 73-76 .
2.	黄靖. 腹膜外腔镜无张力和开放式无张力疝修补术治疗腹股沟疝的临床效果. 医学信息. 2024(23): 50-53 .
3.	李一男. 舒芬太尼在小儿疝气修补术中的不良反应发生情况及其影响因素分析. 中国医学创新. 2023(02): 124-127 .
4.	尤贞融，施海丹，尚婷婷. 腹膜外腹腔镜疝修补术与小切口微创手术对腹股沟疝患儿生理应激、免疫功能的影响. 中国现代医生. 2023(01): 11-14+18 .
5.	王丽丽，薛瑞，张玉兰，刘梦婕. 基于互联网多媒体技术的健康教育模式在腹腔镜下腹股沟斜疝修补术患儿中的应用. 齐鲁护理杂志. 2023(06): 152-154 .
6.	汪峰，谢俊华，何中文. 腹腔镜完全腹膜外疝修补术对老年腹股沟疝患者呼吸功能、促胃动素的影响. 中国医师进修杂志. 2023(12): 1112-1116 .
7.	徐会艳，王晓华. 优势内容递增健康教育法结合生活希望计划干预对成人疝气手术后希望水平及健康知识掌握程度的影响. 临床医学研究与实践. 2022(03): 177-179 .
8.	汤勇，赵洋，何兵. 腹股沟疝无张力修补术后血清IL-17 IL-8 hs-CRP及TIMP-2水平与预后关系. 河北医学. 2022(04): 634-638 .
9.	采虹. 腹膜外腹腔镜无张力疝修补术治疗腹股沟疝患者的临床效果及安全性. 名医. 2022(06): 14-16 .
10.	王立超，朱鸿虹. 两种腹腔镜下疝修补术对老年腹股沟疝患者术后康复进程及安全性的影响. 浙江创伤外科. 2022(03): 571-573 .
11.	陈科杰. 研究腹横纹小切口疝气手术治疗疝气患儿的效果与安全性. 医学食疗与健康. 2022(12): 54-56+67 .
12.	胡珊珊. 腹膜外腹腔镜疝气修补术治疗腹股沟疝的效果. 中外医学研究. 2022(23): 45-48 .
13.	卢影. 基于马斯洛需要层次理论的护理在腹股沟疝手术患者中的应用效果. 中国民康医学. 2022(15): 175-178 .
14.	刘文斌. 腹膜外腹腔镜疝气修补术治疗老年腹股沟疝患者的效果和安全性. 中国医药指南. 2022(26): 60-62 .
15.	马丙全. 腹腔镜完全腹膜外疝修补术治疗老年单侧腹股沟斜疝患者的临床研究. 河南外科学杂志. 2022(05): 49-51 .
16.	叶国清，谢开熊，吴祥兴. 腹膜外腹腔镜疝气修补术治疗腹股沟疝合并糖尿病的临床效果. 中国卫生标准管理. 2022(22): 128-132 .
17.	张融. 腹腔镜完全腹膜外疝修补术治疗腹股沟疝的临床观察. 实用中西医结合临床. 2022(22): 29-31+48 .
18.	张瑞梅. 腹腔镜完全腹膜外疝修补术在腹股沟疝患者中的应用. 实用中西医结合临床. 2022(23): 28-31 .
19.	王亚一. 改良Kugel手术与TAPP治疗腹股沟疝的疗效对比. 哈尔滨医药. 2021(06): 100-101 .
20.	吴桂蓉. 腹膜外腹腔镜疝气修补术与腹股沟疝无张力疝修补术治疗腹股沟疝的疗效观察. 智慧健康. 2021(29): 91-93 .
21.	董伟杰，胡松，余国利. 腹膜外腹腔镜疝气修补术治疗腹股沟疝的效果分析. 深圳中西医结合杂志. 2021(20): 168-170 .
22.	刘晓，王银中. 无张力修补术在老年腹股沟疝中的应用研究. 深圳中西医结合杂志. 2021(21): 19-21 .
23.	肖杰. 腹腔镜经腹膜前间隙无张力修补术与传统修补术在成人疝气治疗中的临床效果. 名医. 2021(22): 66-67 .
24.	李高峰. 腹腔镜经腹腹膜前疝修补术在腹股沟疝中的应用效果研究. 实用医技杂志. 2020(11): 1514-1515 .
25.	于海波. 腹膜外腹腔镜疝气修补手术在腹股沟疝气治疗中的效果和临床价值探讨. 实用妇科内分泌电子杂志. 2020(32): 178-179 .