|本期目录/Table of Contents|

[1]蔡石龙,钟志方,魏梅梅,等.临床不典型中孕期急性阑尾炎患者的超声诊断分析[J].医学研究与战创伤救治(原医学研究生学报),2018,20(02):148-151.[doi:10.3969/j.issn.1672-271X.2018.02.009]
　CAI Shi-long,ZHONG Zhi-fang,WEI Mei-mei,et al.Ultrasonographic diagnosis of acute appendicitis during atypical middle pregnancy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(02):148-151.[doi:10.3969/j.issn.1672-271X.2018.02.009]
点击复制

临床不典型中孕期急性阑尾炎患者的超声诊断分析()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第20卷
期数:
2018年02期
页码:
148-151
栏目:
出版日期:
2018-03-20

文章信息/Info

Title:
Ultrasonographic diagnosis of acute appendicitis during atypical middle pregnancy
作者:
蔡石龙; 钟志方; 魏梅梅; 徐杜鹃; 娄可新
作者单位：221009徐州，徐州市中心医院超声医学科（蔡石龙、钟志方、魏梅梅、徐杜鹃、娄可新）
Author(s):
CAI Shi-long;  ZHONG Zhi-fang;  WEI Mei-mei;  XU Du-juan;  LOU Ke-xin
（Department of Ultrasound, Xuzhou Central Hospital, Xuzhou 221009,Jiangsu,China）
关键词:
超声诊断; 中孕期; 妊娠; 阑尾炎; 急性
Keywords:
ultrasonic diagnosis;  middle pregnancy;  gestation;  appendicitis;  acute
分类号:
R181.2
DOI:
10.3969/j.issn.1672-271X.2018.02.009
文献标志码:
A
摘要:
目的 总结临床不典型中孕期急性阑尾炎超声声像图特征及探讨如何提高中孕期阑尾炎的检出率。方法 对23 例于2014年8月至2017年3月在徐州市中心医院超声检查并经手术及病理检查证实为急性阑尾炎孕妇的超声声像图特征进行总结,并结合每例超声检查过程进行分析。结果 23例孕妇阑尾炎术前超声与手术结果 诊断一致。23例孕妇阑尾炎超声声像图表现包括:直径超过7mm、管壁回声减低、张力高、周边高回声包绕。6例孕妇炎性阑尾呈节段性肿大,4例孕妇阑尾内示粪石阻塞,无穿孔及周围脓肿案例。14例孕妇行左侧卧位、5例孕妇嘱其排空膀胱后成功探查到炎性阑尾。8例孕妇探查阑尾耗时6min，余探查平均用时4min。单用腹部凸阵探头、线阵探头、腔内凸阵探头炎性阑尾的检出率分别为69.6%、39.1%、82.6%，三种探头联合应用炎性阑尾的检出率为100%。结论 腔内凸阵探头对于临床不典型中孕期急性阑尾炎检出率具有相对优势。三种探头联合应用可以显著提高炎性阑尾检出率,对临床治疗起到重要参考价值。
Abstract:
Objective To summarize the ultrasonographic features of acute appendicitis in the diagnosis of acute appendicitis during the second trimester of pregnancy. Methods From August 2014 to March 2017 in our hospital, we summarized ultrasonographic features on 23 cases of acute appendicitis pregnant women who confirmed by ultrasound, surgery and pathological examination.Results In preoperation, the ultrasound diagnosis and surgical Results were consistent on 23 cases of pregnant women with appendicitis. 23 cases of pregnant women with appendicitis sonographic manifestations included: the diameter of more than 7mm, the wall echo reduction, high tension, peripheral high echo wrap. 6 cases of pregnant women with segmental inflammation of the appendix, 4 cases of pregnant women with obstruction of the appendix, none case of perforation and abscess. 14 cases of pregnant women underwent left lateral decubitus, and 5 cases of pregnant women who were told to drain the bladder were successfully detected. 8 cases of pregnant women took about 6 minute to explore the appendix, while the average time spent on the exploration was 4 minutes. The detection rate was 69.6%, 39.1%, and 82.6% respectively, with the abdominal convex array probe, linear array probe, and convex array probe singly. The detection rate was 100% if three kinds of probes were joint used on inflammatory appendix.Conclusion The intracavity convex array probe has relative advantages for the detection of acute appendicitis in clinical atypical middle pregnancy. The combination of three probes can significantly improve the detection rate of inflammatory appendix, and play an important reference value for clinical treatment.

参考文献/References:

[1]岑立微,顾蔚蓉.中晚期妊娠合并非产科急腹症手术时机选择的探讨[J].实用妇产科杂志,2015, 31(9):669-673.
[2]顾美皎,戴钟英,魏丽惠.临床妇产科学[M].北京:人民卫生出版杜, 2011，267：365-367.
[3]吴在德,吴肇汉,郑树,等.外科学[M].北京:人民卫生出版杜, 2008:473.
[4]周慧梅,李威,朱兰.妊娠期急性阑尾炎诊治进展[J].中国计划生育和妇产科,2015,7(2):16-18,26.
[5]Murariu D, Tatsuno B, Hirai CA, et al．Case report and management of suspected acute appendicitis in pregnancy[J]. Hawaii Med J,2011,70(2):30-32.
[6]Maslovitz S, Gutman G, Lessing JB, et al. The significance of clinical signs and blood indices for the diagnosis of appendicitis during pregnancy[J].Gynecol Obstet Invest, 2003,56(4):188-191.
[7]赖娟娟,闵羡蕙,黄美霞.妊娠晚期急性阑尾炎的早期处理（附11例临床分析）[J].东南国防医药,2005,7(1):33-34.
[8]Rao PM, Rhea JT, Novelline RA, et al. Effect of computed tomography of the appendix on treatment of patients and use of hospital resources[J].N Engl J Med,1998,338(3):141-146.
[9]熊爱民,方苏芳,陈毅克.超声诊断小儿急腹症169例[J].东南国防医药,2010,12(3):251-252.
[10]朱庆强.慢性炎症性肠病的影像学诊断及其进展[J].医学研究生学报,2011,24(8):883-887.
[11]蔡石龙,崔建华,鹿皎,等.急性阑尾炎超声影像特征分析[J]. 徐州医学院学报, 2014, 34(3):198-199.
[12]汪文生.小儿正常阑尾超声显示手法的探讨及临床意义[J].东南国防医药,2014,16(4):421-422.
[13]谢幸,苟文丽.妇产科学[M].北京:人民卫生出版杜, 2013:97-99.
[14]Hiersch L, Yogev Y, Ashwal E, et al. The impact of pregnancy on the accuracy and delay in diagnosis of acute appendicitis[J]. J Matern Fetal Neonatal Med,2014,27(13):1357-1360.
[15]刘成玮.腔内探头检查锁骨下动脉近端疾病的价值[J].中国超声医学杂志,2015,31(1):74-76.

相似文献/References:

[1]花雪琴,张 诚,黄 荣.超声诊断甲状腺囊实性病变57例[J].医学研究与战创伤救治(原医学研究生学报),2009,11(03):246.
[2]陈琼华,黄 枢,姜 芳.颅后窝池在超声诊断胎儿脊柱裂中的价值[J].医学研究与战创伤救治(原医学研究生学报),2008,10(05):325.
[3]陈敬芳,吴潇潇.超声诊断胆囊息肉样病变的临床价值[J].医学研究与战创伤救治(原医学研究生学报),2008,10(06):450.

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2018-03-20