Blank W, Braun B
Medizinische Klinik, Kreiskrankenhaus Reutlingen, Akademisches Lehrkrankenhaus der Universität Tübingen.
Z Gastroenterol. 1988 Nov;26(11):708-14.
In a prospective study the significance of ultrasonography in the diagnosis of appendicitis was evaluated. On 104 patients--57 women and 47 men between the ages of 5 and 88 years--with a preliminary diagnosis of acute appendicitis, ultrasonography was performed using a graded compression technique with small curved-array transducers following physical examination. In 32 of 36 patients with operatively confirmed appendicitis the inflamed appendix could be visualized clearly. All 6 perityphlitic abscesses and 4 of 5 perforations were detected correctly by ultrasonography. In 18 patients the use of sonography led to important differential diagnoses other than appendicitis, which in 4 cases required surgery. By direct visualization of the inflamed appendix and its periappendicidal complications the clinical diagnosis of acute appendicitis can be improved. As a result of sonographic detection or exclusion of other diseases, ultrasonography facilitates the--often difficult--clinical differential diagnosis of right lower abdominal pain.
在一项前瞻性研究中，对超声检查在阑尾炎诊断中的意义进行了评估。对104例初步诊断为急性阑尾炎的患者（57名女性和47名男性，年龄在5至88岁之间），在体格检查后，使用小曲面阵列换能器的分级压迫技术进行超声检查。在36例经手术证实为阑尾炎的患者中，有32例可清晰显示发炎的阑尾。超声检查正确检测出所有6例盲肠周围脓肿和5例穿孔中的4例。在18例患者中，超声检查得出了除阑尾炎之外的重要鉴别诊断结果，其中4例需要手术治疗。通过直接观察发炎的阑尾及其阑尾周围并发症，可以改善急性阑尾炎的临床诊断。由于超声检查可检测或排除其他疾病，因此它有助于（通常很困难的）右下腹痛的临床鉴别诊断。
