目的用高平频彩超诊断阑尾炎,对比研究阑尾炎病理分型与超声图像。方法本文对65例临床上疑诊为阑尾炎的患者应用高频彩超术前超声诊断并经病理证实的声像图回顾性地进行分析,并着重讨论各型阑尾炎的不同声像图改变。结果阑尾炎表现为阑尾增粗、腔内径扩大,阑尾壁血流信号丰富。可见五层、三层结构或结构不清,各层次增厚程度及回声不同,反映了阑尾炎的病理变化。结论高频彩超明显提高了阑尾炎的诊断符合率,为临床诊治提供了可靠依据,超声可以对急性阑尾炎的不同类型及病程进展作出正确判断,并建议今后工作中将B超诊断作为阑尾炎的常规术前检查项目,并尽量使用高频探头。 Objective To diagnose appendicitis by high-frequency color Doppler ultrasound and compare the pathological type of appendicitis and ultrasound images. Methods Sixty-five patients with clinically suspected appendicitis were retrospectively analyzed with ultrasonography before radiofrequency ablation and confirmed by pathology. The changes of different sonograms of various types of appendicitis were discussed. Results Appendicitis manifested as appendiceal thickening, lumen diameter, appendix wall blood flow signal rich. Visible five, three-layer structure or structure is unclear, the level of thickening and echo at different levels, reflecting the pathological changes of appendicitis. Conclusion High-frequency ultrasound significantly improves the diagnostic coincidence rate of appendicitis and provides a reliable basis for clinical diagnosis and treatment. Ultrasound can correctly judge the different types of acute appendicitis and the progress of the disease. It is suggested that B-ultrasound should be used as a routine technique for appendicitis in future work Check before the project, and try to use high-frequency probe.