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급성충수염에 대한 초음파검사의 의의

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Author(s)
손석호정건식김정식우성구정기용김희진Seok Ho SohnKun Sik JungJung Sik KimSeong Ku WooKi Yong ChungHee Jin Kim
Keimyung Author(s)
Kim, Jung SikWoo, Seong KuChung, Ki Yong
Department
Dept. of Radiology (영상의학)
Dept. of Surgery (외과학)
Journal Title
대한방사선의학회지
Issued Date
1993
Volume
29
Issue
2
Abstract
During a 12-month period high-resolution, real-time ultrasonography (US) with graded compression was performed on 268 consecutive patients with clinically suspected acute appendicitis and its complications.
US visualization of a fluid-filled, non-compressed appendix or a decompressed, thick-walled appendix was the primary criterion for a diagnosis of acute appendicitis. The sonographic findings were correlated with surgical-pathologic outcome in 92 cases and with the findings of clinical follow-ups in the remainder. US was found to be accurate in the diagnosis of acute appendicitis and its complication with a sensitivity of 93.3%, a specificity of 98.9%, and an accuracy of 97%. The predictive value of a positive test was 97.7%; that of a negative test was 96.7%. There were two false-positive examinations in patients with a thick-walled appendix or periapperdiceal abscess, which were surgically confirmed as appendiceal adenocarcinoma and perforated cecal diverticulitis respectively. There were six false-negative examinations in patients with a sonographically no-visible appendix, which were confirmed surgically as acute appendicitis (n=5) and perforated appendicitis (n=1).
Our results show that high-resolution, real-time US is an accurate imaging modality in the diagnosis of acute appendicitis and the evaluation of its complications.
Alternative Title
Value of ultrasonography in the diagnosis of acute appendicitis.
Keimyung Author(s)(Kor)
김정식
우성구
정기용
Publisher
School of Medicine
Citation
손석호 et al. (1993). 급성충수염에 대한 초음파검사의 의의. 대한방사선의학회지, 29(2), 249–254.
Type
Article
ISSN
0301-2867
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40189
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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