지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 233 - 243 (11page)
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Purpose: The purpose of this study was to evaluate the ultrasonographic findings of secondary appendicitis (SA) and to discuss the differential findings compared with primary appendicitis. Methods: In this study, we analyzed the ultrasonographic findings of 94 patients under 15 years old of age treated at our institution from May 2005 to May 2014 who had bowel inflammation and an inflamed appendix with a maximal outer diameter >6 mm that improved with nonsurgical treatment (the SA group). Ninety-nine patients with pathologically proven acute appendicitis (the primary appendicitis [PA] group) from June 2013 to May 2014 and 44 patients with pathologically negative appendectomy results from May 2005 to May 2014 were also included to compare the ultrasonographic features of these conditions. A retrospective review of the ultrasonographic findings was performed by two radiologists. The clinical and laboratory findings were also reviewed. The results were statically analyzed using analysis of variance, the Pearson chi-square test, and the two-tailed Fisher exact test. Results: Compared with PA, cases of SA had a smaller diameter (9.8 mm vs. 6.6 mm, P<0.001), and were less likely to show periappendiceal fat inflammation (98% vs. 6%, P<0.001) or an appendicolith (34% vs. 11%, P<0.001). SA showed mural hyperemia on color Doppler ultrasonography as frequently as PA (P=0.887). Conclusion: The ultrasonographic features of SA included an increased diameter compared to a healthy appendix and the same level of hyperemia as in PA. However, the diameter was commonly in the equivocal range (mean diameter, 6.6 mm), and periappendiceal fat inflammation was rarely present in SA.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Old JL / 2005 / Imaging for suspected appendicitis / Am Fam Physician 71:71~78
Rosen MP / 2011 / ACR Appropriateness Criteria(R) right lower quadrant pain: suspected appendicitis / J Am Coll Radiol 8:749~755
Park NH / 2011 / Ultrasonography of normal and abnormal appendix in children / World J Radiol 3:85~91
Ives EP / 2008 / Independent predictors of acute appendicitis on CT with pathologic correlation / Acad Radiol 15:996~1003
Rothrock SG / 1991 / Clinical features of misdiagnosed appendicitis in children / Ann Emerg Med 20:45~50
Rosen MP / 2011 / ACR Appropriateness Criteria(R) right lower quadrant pain: suspected appendicitis / J Am Coll Radiol 8:749~755
Park NH / 2011 / Ultrasonography of normal and abnormal appendix in children / World J Radiol 3:85~91
Ives EP / 2008 / Independent predictors of acute appendicitis on CT with pathologic correlation / Acad Radiol 15:996~1003
Rothrock SG / 1991 / Clinical features of misdiagnosed appendicitis in children / Ann Emerg Med 20:45~50
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