Clinical Significance of Ultrasound Signs Combined Diagnosis in Acute Appendicitis of Children
10.12259/j.issn.2095-610X.S20240212
- VernacularTitle:超声征象联合诊断在儿童急性阑尾炎中的临床意义
- Author:
Min TANG
1
;
Xiaoli SHANG
Author Information
1. 昆明医科大学第二附属医院超声医学科,云南 昆明 650500
- Keywords:
Ultrasonic signs;
Acute appendicitis in children;
Combined diagnosis
- From:
Journal of Kunming Medical University
2024;45(2):94-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics and diagnostic significance of ultrasound signs in the diagnosis of acute appendicitis in children.Methods This study focused on 81 children with acute appendicitis and divided them into two groups based on pathological examination results:34 children with severe progressive appendicitis(41.98%)and 47 children with simple appendicitis(58.02%).By analyzing the indirect and direct signs of ultrasound detection,as well as pathological examination data,and using ROC curve analysis to analyze the area under the curve(area under curve,AUC)of ultrasound signs combined,a comprehensive analysis is conducted to score the ultrasound examination results of children.Results The detection rates of wall continuity interruption/low-level clarity,intraluminal fluid accumulation,periappendiceal or abdominal fluid accumulation,periappendiceal hyperechogenicity,cecal and ileal wall thickening in the advanced group were higher than those in the simple group(P<0.05);The scores of indirect,direct,and combined ultrasound signs in the progressive group were higher than those in the simple group(P<0.05);Under the ROC curve,the sensitivity,specificity,positive predictive value,and negative predictive value of combined signs were 98.77%,97.53%,98.77%,and 96.30%,respectively,higher than those of indirect signs and direct signs.The AUC was 0.835,higher than those of indirect signs and direct signs(P<0.05).Conclusion The combined diagnosis of ultrasound examination signs can provide objective evidence for the early diagnosis of acute appendicitis in children,and can also achieve dynamic monitoring of the disease,which is conducive to the formulation of clinical treatment plans.
