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題 名 | 即時間性超音波於臨床上疑似急性闌尾炎的評估=Real-Time Ultrasonography Evaluatio in Clinically Suspected Acute Appendicitis |
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作 者 | 洪岳勳; | 書刊名 | 醫學研究 |
卷 期 | 14:1 1993.07[民82.07] |
頁 次 | 頁7-14 |
分類號 | 416.243 |
關鍵詞 | 即時間性; 急性闌尾炎; 超音波; 疑似; 臨床; |
語 文 | 中文(Chinese) |
中文摘要 | 自1988年12月至1992年2月,共收集150例臨床上疑似急性闌尾炎病患,接受即時間性超音波掃描,男94例女56例,年齡最小7歲最大80歲,平均32歲;其中88例接受手術治療,62例保守治療。88例接受手術之病患,男54例女34例,精確率87.5%,敏感性94.9%,特異性72.4%,假陽性率9.1%,假陰性率3.4%。小於14歲之小孩共15例,其精確率86.7%,敏感性80%,特異性90%,假陽性率6.7%,假陰性率6.7%。大於60歲之老年人共20例,其精確率100%,敏感性100%,特異性100%,均無假陽性及假陰性之病患。即時間性超音波用來診斷急性闌尾炎是一種非侵犯性,快速又能進一步確診斷之方法,更有助於降低非必要性剖腹探查及闌尾切除。 |
英文摘要 | Acute appendicitis is the most common cause of surgery of abdomen, and the negative finding appendectomy ate was around 20-25% in the past 20 years. From Dec. 1983 to Feb. 1992, 150 patients with symptoms and signs suggestive of acute appendicitis, real-time ultrasonography bad been performed. 88 patients received appendectomy post scanning. The results of sonography were correlated with pathologic reports. The criteria used to make the evaluation of appendicitis are: (1) A tubular structure with one blind end. (2) Lack of peristalsis and localized location. (3) A target phenomenon in axial plane. (4) Marked dilatation of lumen and faint echogenic layer. The overall accuracy of the real-time ultrasonography studies in our series was 87.5%. The sensitivity was 94.9%. The specificity was 72.4%. There were 3 false-negative cases with a rate of 3.4%. There were 8 fasle-positive cases with a rate of 9.1%. So, in clinically suspected acute appendicitis, real-time ultrasonography is the choice of examination, and may reduce the negative laparotomy and perforation incidence. |
本系統中英文摘要資訊取自各篇刊載內容。