Wei-Lv Xiong, Lu-Mei Song, Yan-de Niu, Qing-Guo Zou, Qing-Qing Mo
Huzhou Central Hospital, Huzhou Hospital of Zhejiang University, Zhejiang Province, Huzhou 313000, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Oct 26;29(1):111-112. doi: 10.16250/j.32.1374.2016116.
To discuss the ultrasonographic characteristics of schistosomal appendicitis lesions.
Among the patients with schistosomal hepatopathy who were discovered by Color Doppler ultrasound in Huzhou Central Hospital from January 2012 to December 2015, 50 cases with clear history of schistosomiasis and treatment were chosen as a schistosomal hepatopathy group, meanwhile, 50 normal people, who came from non-endemic areas, without schistosomal hepatopathy and schistosomiasis history were chosen as a control group. The two groups were examined by ultrasound scan of the appendix, and the data of the largest diameter of the appendix and the thickness of the appendix wall were collected, and the sonographic characteristics of their appendixes, such as whether the echo of the appendix wall was even or not, were observed.
The minimum internal diameter of the appendix cavity and the thickness of the appendix wall of the schistosomal hepatopathy group were (2.090 ± 0.790) mm and (1.332 ± 0.313) mm, respectively, the former was significantly narrower than that of the control group, while the latter was significantly thicker than that of the control group ( = 2.647, - 4.526, respectively, both ＜0.05). The proportions of those with inhomogeneous echo, indistinctness structure, uneven thickening of the appendix wall, as well as having intestinal contents in the appendix cavity in the schistosomal hepatopathy group were higher than those in the control group ( = 12.000, 18.537, 24.008, 4.244, respectively, all ＜0.05).
Schistosomal appendicitis lesions have obvious ultrasonographic characteristics under ultrasound. Ultrasound can play an important role in judging whether the appendix of schistosomiasis patients is involved and discovering the lesion of appendix early.
探讨血吸虫性阑尾炎病变的超声特征。
选取2012年1月至2015年12月在湖州市中心医院经彩色多普勒超声检查发现的血吸虫性肝病患者中，有明确血吸虫病史且经过治疗的50例患者作为血吸虫性肝病组，同时选取50例来自非疫区、无血吸虫性肝病及血吸虫病史的正常人为对照组。对两组患者进行阑尾超声扫查，收集阑尾最大直径及阑尾壁厚度数据，观察阑尾壁回声是否均匀等阑尾超声特征。
血吸虫性肝病组阑尾腔最小内径及阑尾壁厚度分别为(2.090±0.790)mm和(1.332±0.313)mm，前者明显窄于对照组，后者明显厚于对照组（分别为=2.647，-4.526，均＜0.05）。血吸虫性肝病组阑尾壁回声不均匀、结构不清、阑尾壁增厚不均匀以及阑尾腔内有肠内容物的比例均高于对照组（分别为=12.000，18.537，24.008，4.244，均＜0.05）。
血吸虫性阑尾炎病变在超声下有明显的超声特征。超声在判断血吸虫病患者阑尾是否受累及早期发现阑尾病变方面可发挥重要作用。
