经腹部联合经阴道超声在妇科急腹症中的应用价值  

Application value of transabdominal combined transvaginal ultrasound in gynecological acute abdomen

作　　者：刘卓 Liu Zhuo(Department of Ultrasound,Xingpu Hospital,Suzhou Industrial Park,Suzhou 215008,China)

机构地区：[1]苏州工业园区星浦医院超声科,江苏苏州215008

出　　处：《实用妇科内分泌电子杂志》2024年第15期116-118,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析经腹部联合经阴道超声在妇科急腹症中的应用价值。方法选取50例疑似妇科急腹症患者,患者均分别进行单一经腹部、经阴道超声及联合两种超声方式检查,以病理检查结果为疾病诊断金标准,观察单一经腹部、经阴道超声和联合检查的诊断价值。结果50例疑似妇科急腹症患者,病理检查49例确诊为妇科急腹症。经腹部超声检查阳性38例,阴性12例;经阴道超声检查阳性42例,阴性8例。经腹部联合经阴道超声检查的敏感度、准确率均高于经腹部、经阴道单一检查方式,差异有统计学意义(P<0.05)。经腹部联合经阴道超声检查的总检出率均高于经腹部、经阴道单一检查方式,差异有统计学意义(P<0.05)。结论临床在诊断妇科急腹症患者时,经腹部联合经阴道超声检查可有效提升疾病检出率,有助于鉴别疾病类型,为临床诊断提供科学依据,实现疾病的准确诊断及有效治疗。Objective To analyze the application value of transabdominal combined transvaginal ultrasound in gynecological acute abdomen.Methods50 patients with suspected gynecological acute abdomen were selected,and the patients were respectively examined by single transabdominal ultrasound,transvaginal ultrasound and combined ultrasonography.The diagnostic value of single transabdominal ultrasound,transvaginal ultrasound and combined ultrasonography was observed with the results of pathological examination as the gold standard for disease diagnosis.Results Of 50 suspected gynecological acute abdomen patients,49 confirmed gynecological acute abdomen by pathological examination.Abdominal ultrasonography was positive in 38 cases and negative in 12 cases.Transvaginal ultrasonography was positive in 42 cases and negative in 8 cases.The sensitivity and accuracy of transabdominal ultrasonography combined with transvaginal ultrasonography were higher than those of transabdominal and transvaginal ultrasonography alone,and the difference was statistically significant(P<0.05).The total detection rate of transabdominal ultrasonography combined with transvaginal ultrasonography was higher than that of transabdominal and transvaginal ultrasonography alone,the difference was statistically significant(P<0.05).Conclusion In the diagnosis of gynecological acute abdomen,transabdominal ultrasonography combined with transvaginal ultrasonography can effectively improve the detection rate of diseases,help to identify disease types,provide scientific basis for clinical diagnosis,and achieve accurate diagnosis and effective treatment of diseases.

关 键 词：妇科急腹症 经腹部超声 经阴道超声 

分 类 号：R711[医药卫生—妇产科学]