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目的 :分析彩色多普勒超声在小儿急性阑尾炎诊断中的应用价值。方法 :回顾性分析2015年4月-2016年4月80例经我院确诊的急性阑尾炎患儿为研究对象,均经超声诊断,将超声结果与手术结果进行比较。结果 :超声诊断结果显示化脓性阑尾炎41例,单纯性阑尾炎20例,坏疽性阑尾炎10例,阑尾周围脓肿4例。其诊断符合率依次为95.3%、95.2%、90.9%、80.0%。总符合率为93.75%,误诊和漏诊5例。结论 :彩色多普勒超声用于小儿急性阑尾炎诊断,诊断符合情况较为理想,可作为疑似疾病患儿的优选诊断方法。
Objective: To analyze the value of color Doppler ultrasound in the diagnosis of acute appendicitis in children. Methods: From April 2015 to April 2016, 80 children with acute appendicitis diagnosed in our hospital were retrospectively analyzed. All of them were diagnosed by ultrasound and the results of ultrasound and surgery were compared. Results: Ultrasonography showed 41 cases of suppurative appendicitis, 20 cases of simple appendicitis, 10 cases of gangrenous appendicitis and 4 cases of abscess around the appendix. The diagnostic coincidence rates were 95.3%, 95.2%, 90.9% and 80.0%, respectively. The total coincidence rate was 93.75%, misdiagnosis and missed diagnosis in 5 cases. Conclusion: Color Doppler ultrasound is used in the diagnosis of acute appendicitis in children. The diagnosis is in good condition and can be used as the best diagnostic method in children with suspected disease.