Sovtsov S A, Revel’-Muroz Zh A, Shkarednykh V Yu
Vestn Khir Im I I Grek. 2016;175(3):79-82.
The authors presents the results of application of ultrasound investigation, diagnostic laparoscopy and multi-helical computer tomography in diagnostics of acute appendicitis. The research was applied on 139 patients whom clinical diagnosis was hard to establish using clinical - laboratory criteria. Ultrasound signs of acute appendicitis were revealed in 44 patients out of 139 (31,6%). Diagnostic laparoscopy was performed in 37 (26,6%) patients. According to the results of laparoscopy, the diagnosis of acute appendicitis was сonfirmed in 22 (70,2%) cases. The application of CT allowed the authors to confirm or reject the supposed diagnosis in 90,8% patients. The authors came to conclusion that this non-invasive method facilitated to diagnostics of vermiform appendix inflammation and had a high diagnostic accuracy.
作者介绍了超声检查、诊断性腹腔镜检查和多层螺旋计算机断层扫描在急性阑尾炎诊断中的应用结果。该研究应用于139例临床诊断难以依据临床 - 实验室标准确立的患者。139例患者中有44例（31.6%）显示出急性阑尾炎的超声征象。37例（26.6%）患者进行了诊断性腹腔镜检查。根据腹腔镜检查结果，22例（70.2%）病例确诊为急性阑尾炎。CT的应用使作者能够在90.8%的患者中证实或排除疑似诊断。作者得出结论，这种非侵入性方法有助于诊断阑尾炎症，且具有较高的诊断准确性。
