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相關文獻
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頁籤選單縮合
題 名 | 超音波在疑似急性闌尾炎患者診斷上的助益=Benefits of Sonography in Acute Appendicitis |
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作 者 | 賴宜伶; 何上芸; 黃德兒; 蘇友吉; 陳偉斌; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 25:6 2000.12[民89.12] |
頁 次 | 頁235-239 |
分類號 | 416.243 |
關鍵詞 | 超音波; 闌尾炎; 闌尾; Ultrasonography; Appendicitis; Appendix; |
語 文 | 中文(Chinese) |
中文摘要 | 急性闌尾炎的患者中,有三分之一因症狀不典型而被延遲治療,造成穿孔率及死亡率升高。本文是藉由超音波來輔助臨床診斷急性闌尾炎,以期在發病初期儘早讓病人獲得正確診斷與治療。我們收集29位疑似急性闌尾炎的病例,其中21例超音波影像診斷為急性闌尾炎,17例由手術,1例由臨床追蹤治療得到證實,超音波診斷的位置與手術結果完全吻合 (100%)。8例影像上排除急性闌尾炎的病例中1例為輸尿管結石,2例認為可能是卵巢輸卵管病灶,亦由開刀結果確定診斷。本研究超音波診斷敏感度85.7%,特異性87.5%。本研究結果發現若超音波掃描時符合(1)最大外徑 >7mm,(2) 無法被壓扁,(3)闌尾腸壁變厚,可清楚掃描出黏膜層與漿膜層者,準確率可達100%(18例),(4) 合併糞石者1例(5.9%) 超音波影像可提供臨床一個便宜、方便的輔助診斷工具,亦有助於外科確認闌尾之位置,臨床價值頗受肯定。 |
英文摘要 | Suspected acute appendicitis is the most common indication for emergency abdominal surgery. Delayed diagnosis and treatment increase both mortality and morbidity in approximately one third of atypically presenting patients. The purpose of our study was to assess whether sonography was useful for he early diagnosis of acute appendicitis. Twenty-nine patients with suspected acute appendicitis based on clinical presentation were enrolled. On sonography, 21 patients were considered to have acute appendicitis of which 18 had the diagnosis confirmed either by surgery (17) or at clinical follow up following treatment with antibiotics (1). In all of the cases, the sonographically detected location of the appendix correlated well with surgical findings. In the remaining eight cases, acute appendicitis was excluded. In one, the final diagnosis was a renal calculus. Two cases were considered to have adnexal lesions sonographically, which was confirmed at surgery. When diagnosing appendicitis, the sensitivity and specificity of sonography were 85.7% and 87.5%, respectively. The sonographic criteria for acute appendicitis were: 1) a long tubular structure or target lesion; 2) a diameter over 7mm; 3) non-compression; 4) clearly defined bowel wall showing serosal and mucosal layers. Our experience suggests that sonography is a useful, inexpensive modality that accurately locates the appendix and assists in the early diagnosis of acute appendicitis. |
本系統中英文摘要資訊取自各篇刊載內容。