B ultrasonic diagnosis of acute appendicitis were compared with surgical


, Of which 6 cases with bezoar; appendiceal abscess in 8 cases, ultrasound found in 8 cases. Appendix 2 to discuss a long 5-7cm, diameter 0.5-0.7cm, very small cavities. Under normal circumstances, the appendix can not be displayed ultrasonography. Pathological conditions (1) simple appendicitis: appendix with mild swelling, ultrasonography can not show more. The group of seven cases, only a small amount of exudate because of right lower quadrant and indirectly suggest appendicitis, see B-did not have a little diagnostic value. The significance lies in its examination to exclude other causes of acute abdomen right lower abdominal pain, diagnosis of appendicitis indirect reference. (2) acute suppurative appendicitis and acute gangrenous appendicitis: a significant swelling of the appendix,moncler jakker, the appendix lumen Author: 036 002 Shanxi Shuozhou, Shuozhou City People's Hospital and the surrounding exudation increased,moncler jacken, sonogram shows thickening of the appendix echo, the diameter 0 .7 a 1.4cm, about 3-5cm, tortuous due to the appendix, section on the often not fully show its true length, so much less than the actual value measured values. High resolution instrument for general intestinal wall of the appendix shows the strength of strong three-tier structure, this is the difference between the iliopsoas muscle fibers of the landmark. Swelling of the appendix lumen see different levels of echo-free zone, with bezoar,ralph lauren sale, the cavity visible light group, the rear with acoustic shadow. The outer wall of the appendix often see narrow band of hypoechoic or anechoic, irregular small dark area around the visible, surgery follow-up, see the appendix attached to the surface of pus moss. Omental wrap, the appendix can be seen above the front edge is unclear, irregular, hyperechoic more uniform sheet, together with the appendix to form an irregular mass echo. Suppurative appendicitis and gangrenous appendicitis have similar ultrasonographic appearance, but the latter is more obvious appendiceal wall thickening, periappendiceal exudate dark areas more, check sometimes confusing. Perforated appendix, the appendix wall can be seen continuously interrupted, appendix no echo chamber echo with no communication with the surrounding, when there is generalized peritonitis, abdominal empyema, the lower abdomen shows a large range of echo-free zone, because no echo of the background, more Easy to find thick appendix. I think mainly due to acute appendicitis appendix appendix wall thickening due to inflammatory edema, so even perforation of the appendix,ugg boots outlet, the appendix can find see enlargement. The group of purulent, gangrenous appendicitis, 30 cases, B-are the clinical diagnosis. (3) appendiceal abscess: sonography showed irregular, anechoic or hypoechoic groups,abercrombie et fitch, demarcated, heterogeneous internal echo. Still visible on the side of abscess of the appendix thickening intermittent echo. As the impact location of the appendix, abscess mass position can be different. The group of appendiceal abscess in 8 cases, no ultrasound missed. In summary, B-in the diagnosis of acute appendicitis has an important role, and to provide a reference type of appendicitis, so the disease should be allowed under the B-included in the routine examination of appendicitis.