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超声检查对预测腹腔镜阑尾切除术难易程度的意义

于爱军 史华宁 赵鲁文 张学军 李巍 刘金龙

中国内镜杂志2011,Vol.17Issue(2):131-133,3.
中国内镜杂志2011,Vol.17Issue(2):131-133,3.

超声检查对预测腹腔镜阑尾切除术难易程度的意义

Value of preoperative ultrasonography for predicting the degree of difficulty in laparoscopic appendectomy*

于爱军 1史华宁 2赵鲁文 3张学军 1李巍 1刘金龙1

作者信息

  • 1. 承德医学院附属医院,普外一科,河北,承德,067000
  • 2. 承德医学院附属医院,超声科,河北,承德,067000
  • 3. 承德医学院附属医院,妇科,河北,承德,067000
  • 折叠

摘要

Abstract

[Objective]To discuss the value of abdominal ultrasonography in predicting intraoperative technical difficulties for patients underwent laparoscopic appendectomy (LA).[Methods]A total of 106 patients were included in this prospective clinical study.Direct and indirect ultrasonogram signs of acute appendicitis were emphasized on preoperative ultrasonography.Operating time and the observation during the course of operation were recorded.And the relationship between the ultrasound findings and degree of difficulty in LA were analyzed after operation.[Results]Acute appendicitis could be diagnosed by ultrasound.The difficulty of LA wound be added by appendix thickening, bowel wall thickening in ileocecal junction, effusion amounts around intestines in the right lower abdomen >50 mL, appendiceal irregular hyperechoic.[Conclusions]Ultrasonography has an important significance for predicting the degree of difficulty in laparoscopic appendectomy.

关键词

阑尾切除术/腹腔镜/超声检查/预测

Key words

appendectomy/ laparoscopy/ ultrasonography/ prediction

分类

医药卫生

引用本文复制引用

于爱军,史华宁,赵鲁文,张学军,李巍,刘金龙..超声检查对预测腹腔镜阑尾切除术难易程度的意义[J].中国内镜杂志,2011,17(2):131-133,3.

基金项目

河北省承德市科学技术研究与发展指导计划项目(No.200922100) (No.200922100)

中国内镜杂志

OA北大核心CSCDCSTPCD

1007-1989

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