超声检查对预测腹腔镜阑尾切除术难易程度的意义

摘要

[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.%目的 探讨术前腹部超声检查对预测腹腔镜阑尾切除术(LA)难易度的意义.方法 对106例LA的难易度和术前腹部超声进行临床研究.术前超声检查,记录急性阑尾炎声像图的直接征象及间接征象,手术时记录手术时间及术中所见.术后分析超声显像与LA难易度的关系.结果 超声可以诊断急性阑尾炎,超声显示阑尾粗大、回盲部肠壁增厚、右下腹部肠间积液＞50 mL、阑尾周围不规则高回声区会增加LA手术难度.结论 术前超声检查对预测LA难易度有重要意义.