河北医科大学学报

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PAS联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断的临床价值

  

  1. 河南省郑州市妇幼保健院超声科,河南 郑州 450052
  • 出版日期:2017-08-25 发布日期:2017-08-09
  • 作者简介:谢琼(1973-),女,湖南洞口人,河南省郑州市妇幼保健院副主任医师,医学学士,从事医学超声诊断研究。

Clinical diagnosis value of PAS combined with ultrasound for acute appendicitis and mesenteric lymphadenitis in children

  1. Department of Ultrasound, Zhengzhou Maternal and Child Health Care Hospital of Henan Province, Zhengzhou 450052, China
  • Online:2017-08-25 Published:2017-08-09

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨小儿阑尾炎评分(pediatric appendicitis score,PAS)联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断的临床价值。
〖HTH〗方法〖HTSS〗〖KG*2〗选择因腹痛治疗的患儿194例,分别采用PAS、超声以及二者联合对患儿进行诊断,分析3种方法的诊断价值。
〖HTH〗结果〖HTSS〗〖KG*2〗病理检查结果最终确诊急性阑尾炎87例,急性肠系膜淋巴结炎56例。PAS与超声联合诊断对急性阑尾炎的灵敏度(96.55%)、特异度(93.46%)、准确度(94.85%)高于PAS(74.71%、66.36%、70.10%)和超声诊断(88.51%、92.52%、90.72%)。PAS与超声联合诊断对肠系膜淋巴结炎的灵敏度(98.21%)、特异度(97.10%)、准确度(97.42%)高于PAS(25.00%、63.92%、79.71%)和超声诊断(92.86%、94.33%、94.93%)。
〖HTH〗结论〖HTSS〗〖KG*2〗PAS联合超声用于小儿急性阑尾炎及肠系膜淋巴结炎诊断具有较高的敏感度、特异度及准确度。

关键词: 阑尾炎, 肠系膜淋巴腺炎, 超声检查

Abstract: [Abstract] Objective〖HTSS〗〓To investigate the clinical diagnosis value of pediatric appendicitis score(PAS) combined with ultrasound for acute appendicitis and mesenteric lymphadenitis in children.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 194 cases were selected in our hospital because of abdominal pain. Both of PAS and ultrasound diagnosis were used to diagnose patients, the diagnostic value of three diagnostic methods were evaluated.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The final pathological examination confirmed 87 cases of acute appendicitis and 56 cases of acute mesenteric lymphadenitis. The sensitivity, specificity and accuracy of PAS combined with ultrasonography in the diagnosis of acute appendicitis were 96.55%, 93.46% and 94.85%, respectively, which were higher than the PAS(74.71%, 66.36%, 70.10%) and ultrasound diagnosis(88.51%, 92.52%, 90.72%) . The sensitivity, specificity and accuracy of PAS combined with ultrasonography in the diagnosis of mesenteric lymphadenitis were 98.21%, 97.10% and 97.42%,respectively, which were higher than the PAS(25.00%, 63.92%, 79.71%) and ultrasound diagnosis(92.86%, 94.33%, 94.93%).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓PAS combined with ultrasound in the diagnosis of mesenteric lymphadenitis and acute appendicitis has high sensitivity, specificity and  accuracy.

Key words: appendicitis, mesenteric lymphadenitis, ultrasonography