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彩色多普勒超声在急性阑尾炎诊断中的临床价值及探查技巧

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目的:探讨彩色多普勒超声在急性阑尾炎诊断中的临床价值,并分析探查技巧.方法:从本院2021年3月~2022年12月收治的急性阑尾炎患者中选取53例,对所有患者均予以彩色多普勒超声检查,观察彩色多普勒超声的图像特点.结果:在53例急性阑尾炎患者中,47例患者在右下腹发现盲管样结构,解读CDFI可知,盲管样结构管壁存在稀疏斑状与短棒状血流信号或不存在血流信号;4例患者发现右下腹存在炎性肿块,考虑为阑尾周围脓肿.2例患者由于阑尾较短,且较为肥胖,超声检查结果为右下腹阑尾区探头存在触压痛及反跳痛.超声诊断的总符合率为96.23%(51/53).结论:彩色多普勒超声在急性阑尾炎诊断中具有较高的临床价值.
Clinical Value and Exploration Skills of Color Doppler Ultrasound in the Diagnosis of Acute Appendicitis
Objective:To explore the clinical value of color Doppler ultrasound in the diagnosis of acute appendicitis and analyze the exploration techniques.Methods:53 patients with acute appendicitis were selected from our hospital,and their admission time was selected from March 2021 to February 2023.All patients were examined by color Doppler ultrasound to observe the image characteristics of color Doppler ultrasound.Results:Among 53 patients with acute appendicitis,47 patients found a blind tube-like structure in the right lower abdomen.According to CDFI,the wall of the blind tube-like structure had sparse patchy and short rod-shaped blood flow signals or no blood flow signals;Inflammatory mass was found in the right lower abdomen in 4 patients,which was considered as periappendiceal abscess.2 patients had tenderness and rebound pain in the probe of the right lower abdominal appendage area due to their short appendix and obesity.The total coincidence rate of ultrasound diagnosis was 96.23%(51/53).Conclusion:Color Doppler ultrasound has high clinical value in the diagnosis of acute appendicitis.

color Doppler ultrasoundacute appendicitisdiagnostic valueprobing technique

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江西省萍乡市中医院(江西 萍乡 337000)

彩色多普勒超声 急性阑尾炎 诊断价值 探查技巧

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(2)
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