妇儿健康导刊2024,Vol.3Issue(17) :97-100.

腹部超声结合浅表超声检查在儿童急性阑尾炎中的诊断价值

Diagnostic value of transabdominal ultrasonography combined with superficial ultrasonography in acute appendicitis in children

王蕾 吴亮颖 严璐
妇儿健康导刊2024,Vol.3Issue(17) :97-100.

腹部超声结合浅表超声检查在儿童急性阑尾炎中的诊断价值

Diagnostic value of transabdominal ultrasonography combined with superficial ultrasonography in acute appendicitis in children

王蕾 1吴亮颖 1严璐1
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作者信息

  • 1. 兰州中医骨伤科医院功能科,甘肃兰州 730010
  • 折叠

摘要

目的 分析腹部超声(TAS)结合浅表超声检查在儿童急性阑尾炎(AA)中的诊断价值.方法 选取 2021年 5 月至 2024年1月兰州中医骨伤科医院接收的80 例疑似AA的患儿,均接受TAS、浅表超声检查,并以病理结果作为诊断依据,分析TAS、浅表超声单独及联合检查AA患儿的诊断价值.结果 病理结果显示,AA 71例(88.75%);TAS联合浅表超声检查结果与病理结果的一致性较好(Kappa=0.875),TAS、浅表超声单独检查结果与病理结果一致性一般(Kappa=0.515、0.418);TAS联合浅表超声检查的灵敏度、准确度高于TAS、浅表超声单独检查(P<0.05).结论 TAS结合浅表超声诊断儿童AA可提高灵敏度、准确度,且与病理结果具有较好的一致性.

Abstract

Objective To analyze the diagnostic value of transabdominal ultrasonography(TAS)combined with superficial ultrasound in children with acute appendicitis(AA).Methods A total of 80 children with suspected AA admitted to Lanzhou Traditional Chinese Medicine Hospital of Orthopedics and Traumatology from May 2021 to January 2024 were selected for this study.All children underwent TAS and superficial ultrasound examination,and the pathological results were used as the basis for diagnosis.The diagnostic value of TAS and superficial ultrasound alone and in combination was analyzed.Results Pathological examination results showed that 71 cases of AA(88.75%).The consistency between TAS combined with superficial ultrasound and pathological results was good(Kappa=0.875).The results of TAS and superficial ultrasound alone were generally consistent with pathological results(Kappa=0.515,0.418).The sensitivity and accuracy of TAS combined with superficial ultrasound were higher than those of TAS or superficial ultrasound alone(P<0.05).Conclusion TAS combined with superficial ultrasound in the diagnosis of AA in children can improve the sensitivity and accuracy,and has good consistency with pathological results.

关键词

急性阑尾炎/儿童/腹部超声/浅表超声/诊断价值

Key words

Acute appendicitis/Children/Transabdominal ultrasonography/Superficial ultrasound/Diagnostic value

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出版年

2024
妇儿健康导刊
婚姻与家庭杂志社

妇儿健康导刊

ISSN:2097-115X
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