Poortman Pieter, Oostvogel Henk J M, de Lange-de Klerk Elly S M, Cuesta Miguel A, Hamming Jaap F
Waterlandziekenhuis, afd. Heelkunde, Purmerend, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:B376.
To gauge the opinion of Dutch surgeons concerning the use of ultrasound and CT in the case of a suspected acute appendicitis.
Written survey.
All 1020 members of the Association of the Surgeons of the Netherlands received a questionnaire with 8 statements concerning the diagnosis of acute appendicitis. The statements could be answered with 'agree', 'disagree', or 'no opinion'.
The questionnaire was returned by 439 members (43%). A majority (64%) of these respondents established the diagnosis acute appendicitis on the basis of clinical symptoms, whereas a minority (22%) routinely performed ultrasound. For a classical presentation, 45% of the respondents thought ultrasound was indicated; for less than 3 classical symptoms, 70% of the respondents thought ultrasound was indicated. For women of fertile age, 74% of the respondents thought ultrasound was indicated. Approximately half (46%) of the surgeons always had access to a radiologist who could reliably perform ultrasound imaging, whereas 34% did not. The combination of ultrasound and CT was considered to be a reliable diagnostic procedure by 74% of the surgeons.
The majority of the surgeons considered acute appendicitis to be mainly a clinical diagnosis.
评估荷兰外科医生对于在疑似急性阑尾炎病例中使用超声和CT的看法。
书面调查。
向荷兰外科医生协会的所有1020名成员发放了一份问卷，其中包含8条关于急性阑尾炎诊断的陈述。这些陈述的答案选项为“同意”“不同意”或“无意见”。
439名成员（43%）回复了问卷。这些受访者中的大多数（64%）根据临床症状诊断急性阑尾炎，而少数（22%）常规进行超声检查。对于典型表现，45%的受访者认为应进行超声检查；对于少于3项典型症状的情况，70%的受访者认为应进行超声检查。对于育龄期女性，74%的受访者认为应进行超声检查。约一半（46%）的外科医生总能找到能可靠进行超声成像的放射科医生，而34%的医生则找不到。74%的外科医生认为超声和CT联合是一种可靠的诊断方法。
大多数外科医生认为急性阑尾炎主要是临床诊断。
