Regöly-Mérei J, Ihász M, Záborszky A, Dubecz S
Orv Hetil. 1989 Apr 16;130(16):827-31.
110 urgent sonography were performed on 101 patients with suspected acute appendicitis and on subsequent 26 patients 33 echography with suspected postappendectomy abscess. Although according to a few publications in connection with acute appendicitis there are characteristic sonographic signs, the authors didn't find any typical structures at patients having non-complicated appendicitis. But at perforated appendicitis and periappendicular abscesses the fluid collection was frequently very well visualizable and the periappendicular infiltration was detectable as well. The differentation between infiltration and abscess is difficult, often unsuccessfull. The authors confirm the high sensitivity of sonography in the detection of postappendectomy intraabdominal abscesses, similarly to other abscesses of unrelated origin. They emphasize the differentialdiagnostic aid of sonography, if the clinical symptoms are atypical or the signs of acute appendicitis are imitated by other disease.
对101例疑似急性阑尾炎患者进行了110次急诊超声检查，随后对26例疑似阑尾切除术后脓肿的患者进行了33次超声检查。尽管根据一些与急性阑尾炎相关的出版物，存在特征性超声征象，但作者在无并发症阑尾炎患者中未发现任何典型结构。但在穿孔性阑尾炎和阑尾周围脓肿时，积液常常能很好地显示出来，阑尾周围浸润也可检测到。浸润和脓肿的鉴别很困难，常常不成功。作者证实，超声检查在检测阑尾切除术后腹腔内脓肿方面具有高敏感性，与其他非相关来源的脓肿相似。他们强调，如果临床症状不典型或急性阑尾炎的体征被其他疾病模仿，超声检查在鉴别诊断方面有辅助作用。
