医疗卫生装备2023，Vol.44Issue(10)：64-67,4.DOI:10.19745/j.1003-8868.2023209
基于超声的肠系膜上动脉血流动力学检查对急性化脓性阑尾炎的诊断价值
Diagnostic value of ultrasound-based hemodynamic examination of superior mesenteric artery for acute suppurative appendicitis
摘要
Abstract
Objective To investigate the characteristics of hemodynamic changes in superior mesenteric artery(SMA)of patients with acute suppurative appendicitis(ASA)to facilitate the diagnosis of ASA.Methods Ninety-three ASA patients diagnosed by ultrasound and confirmed by pathology in some hospital from January 2015 to December 2022 were enrolled into an ASA group,and 88 soldiers without abnormalities in the annual physical examination at the hospital in 2021 were divided into a control group,and the two groups were compared in terms of SMA hemodynamic indexes including peak systolic velocity(PSV),end diastolic velocity(EDV),resistance index(RI)and systolic/diastolic ratio(S/D).The statistically significant data of the above indexes were selected to draw the ROC curve and obtain the cut-off values.SPSS 22.0 software was used for statistical analysis.Results The PSV was(212±69)cm/s in the ASA group and(118±26)cm/s in the control group,with statistically significant differences(P＜0.05),and the two groups had the differences in EDV,RI,and S/D not statistically significant(P＞0.05).The ROC curve was plotted based on the PSV data,and a cutoff value of 238 cm/s was obtained with an AUC of 0.714.Conclusion Ultrasound examination of SMA hemodynamic changes in suspected ASA patients facilitates a definitive diagnosis and is of guidance for clinical treatment.[Chinese Medical Equipment Journal,2023,44(10):64-67]关键词
超声检查/肠系膜上动脉/急性化脓性阑尾炎/血流动力学Key words
ultrasound examination/superior mesenteric artery/acute suppurative appendicitis/hemodynamics分类
基础医学引用本文复制引用
刘皎然,刘宏,张荣心,魏杰,韩志勤,彭龙..基于超声的肠系膜上动脉血流动力学检查对急性化脓性阑尾炎的诊断价值[J].医疗卫生装备,2023,44(10):64-67,4.基金项目
河北省医学科学研究重点课题(ZD20140400) （ZD20140400）
