不同超声诊断方案在妇科急腹症中的应用价值  

APPLICATION VALUE OF DIFFERENT ULTRASONOGRAPHIC METHODS IN DIAGNOSIS OF GYNECOLOGIC ACUTE ABDOMEN

作　　者：孙洪玉[1] SUN Hong-yu(Department of Gynecology,Guizhou Aerospace Hospital,Guizhou Zunyi563003,Chin)

机构地区：[1]贵州航天医院妇科,贵州遵义563003

出　　处：《承德医学院学报》2017年第5期375-377,共3页Journal of Chengde Medical University

摘　　要：目的:探讨经腹部、经阴道多普勒超声单一和联合检查用于妇科急腹症的临床诊断值。方法:我院妇科门诊收治的187例急腹症患者,均接受经腹部和经阴道多普勒超声检查,并与手术或病理活检结果进行对照,对比分析三种方法的诊断符合率。结果:经阴道超声检查的诊断符合率为86.10%(161/187),明显高于经腹部超声检查的诊断符合率(77.54%,145/187)(P<0.05);联合检查的诊断符合率为94.12%(161/187),明显高于单一经腹部或经阴道超声检查(P<0.01)。结论:经腹部、经阴道多普勒超声检查在妇科急腹症的诊断中均有一定的应用价值,联合两种检查方法更有助于提高诊断符合率。Objective：To investigate the clinical diagnosis value of single abdominal ultrasound, single transvaginal ultrasound and abdominal ultrasound combined with Wansvaginal ultrasound in diagnosis of gynecologic acute abdomen. Methods： 187 cases of gynecologic acute abdomen patients in our hospital all underwent abdominal ultrasound and transvaginal ultrasound; the results of ultrasound were contrastively analyzed with operation or biopsy to compared the diagnose accordance rate of 3 ultrasonographic methods. Results： The diagnose accordance late of Wansvaginal ultrasound was 86.10% （161/187）, which was obviously higher than abdominal ultrasound （P〈0.05）. The diagnose accordance rate of abdominal ullrasound combined with transvaginal ultrasound was 94.12% （161/187）, which was obviously higher than single abdominal ultrasound and single Wansvaginal ultrasound （P〈0.01）. Conclusions： Abdominal ultrasound and transvaginal ultrasound have certain application value in diagnosis of gynecologic acute abdomen, but abdominal ultrasound combined with transvaginal ultrasound is helpful to improve diagnose accordance rate.

关 键 词：妇科急腹症 经腹部多普勒超声 经阴道多普勒超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]