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The abdominal wall in the left lower quadrant, 2 finger breadths (3 cm) cephalad and 2 finger breadths medial to the anterior superior iliac spine, has been shown to be thinner and with a larger pool of fluid than the midline and is usually a good choice for needle insertion for performance of a therapeutic paracentesis.27 The right lower quadrant may be a suboptimal choice in the setting of a dilated cecum or an appendectomy scar.
在过去，常常将腹部正中线耻骨与肚脐中间定为穿刺点，现在，由于腹腔穿刺引流大量液体以及腹中部脂肪厚度增加，左下腹成为腹腔穿刺部位（表1），在左下腹部中线至髂前上棘连线上2指宽（3cm）与距髂前上棘2指宽，已经显示较中部脂肪少及腹水较多是治疗性腹腔穿刺好的首选部位27，在盲肠有扩张或阑尾切除术后瘢痕时右下腹是次选的穿刺部位，应避开腹壁下动脉，这些血管走行在耻骨与髂前上棘之间的中线然后在腹直肌中向上行走，，腹壁可见的侧支循环亦应该避开，腹腔镜检查发现侧支循环可出现在中线并且在腹腔穿刺时有导致血管破裂的风险28。
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The indirect sign included the stercolith in the appendix with sound shadow; periappendicular absence echo or deposit echo when appendicitis complicated with exudation or perforation; mixed swollen echo on the right hypogastric region when abscess formed; dilation of intestine; local ileocecal edema or mesenteric thickening and encysted greater omentum.
横断面呈&靶环征&或圆形回声。2 间接征象：阑尾内粪石并声影；阑尾炎有渗出或穿孔时周围的无回声区或有沉积物回声；脓肿形成时为右下腹混合性肿块回声；肠管扩张；回盲部肠管局限性水肿或肠系膜增厚和大网膜包裹。
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The indirect sign includes the stercolith in the appendix with sound shadow; periappendicular absence echo or deposit echo when appendicitis complicated with exudation or perforation; mixed swollen echo on the right hypogastric region when abscess formated; dilation of intestine; local ileocecal edema or mesenteric thickening and encysted greater omentum.
间接征象：阑尾内粪石并声影；阑尾炎有渗出或穿孔时周围的无回声区或有沉积物回声；脓肿形成时为右下腹混合性肿块回声；肠管扩张；回盲部肠管局限性水肿或肠系膜增厚和大网膜包裹。B超检查简便、可重复性对阑尾炎诊断有很大的实用价值，应列为首选的影像检查方法。
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Results If colon dilation, congestion and oedema are observed on appendectomy on patients who have typical typhlitic manifestation, other intestinal canals should be explored in case of missed diagnosis.
结果 具有典型阑尾炎的症状、体征而行阑尾手术时，术中发现升结肠明显扩张、充血、水肿等情况，应探查其他肠管有无病变，以防漏诊。
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objective to investigate the possibility of ascending colon carcinoma inducing appendicitis.methods 3 cases of ascending colon carcinoma were analyzed in a retrospective study.results if colon dilation, congestion and oedema are observed on appendectomy on patients who have typical typhlitic manifestation, other intestinal canals should be explored in case of missed diagnosis.
目的 探讨升结肠癌诱发阑尾炎的可能性。方法通过所选下列3例升结肠癌并发阑尾炎进行分析。结果具有典型阑尾炎的症状、体征而行阑尾手术时，术中发现升结肠明显扩张、充血、水肿等情况，应探查其他肠管有无病变，以防漏诊。
- 更多网络解释与阑尾扩张相关的网络解释 [注：此内容来源于网络，仅供参考]
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appendicectasis：阑尾扩张
appendicalappendicealappendicular 阑尾的 | appendicectasis 阑尾扩张 | appendicitis 阑尾炎