妇科急腹症的超声诊断临床观察  

Clinical Observation of Ultrasonography in the Diagnosis of Gynecological Acute Abdomen

作　　者：张龙娟 

机构地区：[1]广东省东莞市塘厦医院超声科,广东东莞523710

出　　处：《临床医学工程》2016年第2期145-146,共2页Clinical Medicine & Engineering

摘　　要：目的观察妇科急腹症的超声诊断结果。方法选取2012年10月至2014年10月我院收治的90例妇科急腹症患者,分别对其行单纯经腹部超声检查和经阴道联合腹部超声检查。比较两种方法的诊断结果,并将其与病理诊断结果相比较,分析超声诊断的临床应用价值。结果单纯经腹部超声漏诊和误诊发生率为14.4%,显著高于经阴道联合腹部超声的5.6%(P<0.05)。经阴道联合腹部超声诊断妇科急腹症准确率为94.4%,与病理诊断结果比较无显著差异(P>0.05)。结论超声诊断技术具有诊断价值高、操作简便等特点,临床上采用经阴道联合腹部超声对妇科急腹症患者进行检查,具有明显效果,值得推广。Objective To observe the results of ultrasonic diagnosis for gynecological acute abdomen. Methods 90 patients with gynecological acute abdomen admitted to our hospital from October 2012 to October 2014 were selected and implemented simple transabdominal ultrasongraphy and transvaginal combined with abdominal ultrasongraphy. The diagnostic results of two methods were compared, and the results of ultrasonic diagnosis and pathological diagnosis were compared, the clinical application value of ultrasongraphy was analyzed. Results The incidence of missed diagnosis and misdiagnosis of simple transabdominal ultrasongraphy was 14.4%,significantly higher than 5.6% of transvaginal combined with abdominal ultrasongraphy（P〈0.05）. The accuracy rate of transvaginal combined with abdominal ultrasongraphy was 94.4%, and no significant difference was found between ultrasonic diagnosis and pathological diagnosis（P〈0.05）. Conclusions Ultrasonic diagnosis technology has high diagnostic value and simple operation. Transvaginal combined with abdominal ultrasongraphy has significant effect in diagnosis of gynecological acute abdomen, which is worthy of promotion.

关 键 词：急腹症 超声 妇科诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]