Die bisher vorliegenden prospektiven Untersuchungen haben gezeigt, daβ die Sonographie in der Hand des Erfahrenen eine hohe Treffsicherheit bei der Diagnose der Appendizitis hat. Als alleinige Untersuchungsmethode ist sie allerdings überfordert; die Indikation zur Appendektomie muβ aus der Beurteilung klinischer und sonographischer Befunde erfolgen. Wertvolle Informationen können insbesondere zum differentialdiagnostischen Ausschluβ anderer Erkrankungen gewonnen werden; bestimmte Risikogruppen, wie Kinder, alte Patienten und Schwangere, scheinen von der Sonographie besonders zu profitieren. Die Sonographie ist somit ein wertvolles diagnostisches Hilfsmittel für die präoperative Diagnose und für die Differentialdiagnose der akuten Appendizitis.

Keywords:
Appendizitis, Risikogruppen, Sonographie, Stellenwert
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© 1993 S. Karger AG, Basel
1993
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