摘要： 超声是一种简便、无创、直观的检查方法，易被患者接受，且诊断符合率较高，可直接观察到病变周围的形态大小、有无粪石，对有无穿孔也有帮助。急性单纯性阑尾炎阑尾稍增粗，粘膜和粘膜肌层轻度增厚，化脓性和坏疽性阑尾炎阑尾明显增粗，腔内可见脓液回声，稀薄者为无回声暗区，粘稠者为密集点状强回声；化脓性阑尾炎声像图显示欠清晰，外形不规则，粗细欠均匀，周边伴有少量液性暗区；坏疽性阑尾炎声像图特征形态消失，壁模糊，回声中断，周围可见不规则的低无回声区，内部回声不均匀，后方回声增强。

    关键词： 急性阑尾炎；化脓性阑尾炎；坏疽性阑尾炎；超声图像特征

    Abstract ultrasonography is a simple, noninvasive, visual inspection method, easily accepted by patients, and the diagnosis coincidence rate is higher, can be directly observed the pathological changes around the shape size, the presence of bezoar, the presence of perforation can also help. Slightly enlargement, acute simple appendicitis appendix mucosa and mucosal muscularis mild thickening, suppurative and appendix gangrenous appendicitis enlargement, obviously with pus cavity, anechoic dark area is thin, thick for dense point strong echo. The sonograms of acute suppurative appendicitis showed less clear, shape is irregular, uniform thickness to owe, accompanied by a small amount of fluid surrounding the dark space. Gangrenous appendicitis ultrasonographic characteristics of the form will disappear, wall, echo, visible around irregular low anechoic area, uneven internal echo, posterior acoustic enhancement. ...... 濡傛灉鎮ㄥ湪浣跨敤鎵嬫満绛夋祦瑙堟椂鏃犳硶鏌ョ湅鎴栦笅杞藉叏鏂囷紝鍙兘鏄鎼滅储寮曟搸澶辩湡鈥滆浆鐮佲€濓紝璇风偣鍑诲睆骞曟渶涓嬫柟鐨勨€滅數鑴戠増鈥濇垨鈥滃師缃戦〉鈥濊闂€�


闄愪簬鏈嶅姟鍣ㄥ帇鍔涳紝缃戠珯閮ㄥ垎淇℃伅鍙緵鐖卞績浼氬憳鎴栨湁涓€瀹氱Н鍒嗙殑娉ㄥ唽浼氬憳娴佽銆�
姝�淇℃伅闇€瑕� 1 绉垎锛堝厤璐规敞鍐岀櫥褰曞悗姣忓ぉ鍙互棰嗗彇10涓Н鍒�锛夈€�
    淇℃伅浠呬緵鍙傝€冿紝涓嶆瀯鎴愪换浣曚箣寤鸿銆佹帹鑽愭垨鎸囧紩銆傛枃绔犵増鏉冨睘浜庡師钁椾綔鏉冧汉锛岃嫢鎮ㄨ涓烘鏂囦笉瀹滆鏀跺綍渚涘ぇ瀹跺厤璐归槄璇伙紝璇烽偖浠舵垨鐢佃瘽閫氱煡鎴戜滑锛屾垜浠敹鍒伴€氱煡鍚庯紝浼氱珛鍗冲皢鎮ㄧ殑浣滃搧浠庢湰缃戠珯鍒犻櫎銆�

寰俊鏂囩珷  鍏虫敞鐧炬媷  璇勮鍑犲彞  鎼滅储鏇村