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目的总结儿童急性阑尾炎的诊断价值和声像图特征。方法对104例手术及穿刺病理证实阑尾炎患者与术前超声检查所得结果进行对比分析,全部患者术前均进行超声检查,79例1周内进行手术,25例为保守治疗结合经腹穿刺抽脓术证实。结果超声诊断阑尾炎85例,假阴性19例。结论儿童急性阑尾炎超声图像具有特征性表现,超声应作为影像学的首选方法 。
Objective To summarize the diagnostic value and sonographic features of acute appendicitis in children. Methods A total of 104 patients with appendicitis confirmed by operation and puncture pathology were compared with the results of preoperative ultrasonography. All patients underwent ultrasonography preoperatively, 79 patients underwent surgery within 1 week and 25 patients underwent conservative treatment combined with percutaneous abscess Surgery confirmed. Results Ultrasound diagnosis of appendicitis in 85 cases, false negative in 19 cases. Conclusion Ultrasound images of children with acute appendicitis have characteristic features. Ultrasound should be the first choice of imaging.