腹部及阴道彩色多普勒超声联合检查在妇产科急腹症诊断中的应用价值分析  

Analysis of the Application Value of Abdominal and Vaginal Color Doppler Ultrasound Combined Examination in the Diagnosis of Acute Abdominal Conditions in Obstetrics and Gynecology

作　　者：遇红 宫晶 YU Hong;GONG Jing(Weihai Hospital of the 970 Hospital of the PLA JLSF,Weihai 264200,china)

机构地区：[1]中国人民解放军联勤保障部队第九七○医院威海院区妇产科,山东威海264200 [2]中国人民解放军联勤保障部队第九七○医院威海院区健康医学科,山东威海264200

出　　处：《中华灾害救援医学》2025年第2期213-216,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探讨彩色多普勒超声在妇产科急腹症诊断中的应用价值,比较腹部超声、阴道超声及两者联合使用对急腹症的诊断效能。方法回顾性分析2022年7月至2024年7月于本院妇产科就诊的200例急腹症患者的基本资料。以腹腔镜检查结果作为金标准,比较腹部超声、阴道超声以及两者联合对妇产科急腹症的诊断效能。结果对于异位妊娠诊断,腹部超声、阴道超声及二者联合均具有一定的诊断价值,且诊断效能依次递增(P<0.001)。其中,腹部超声联合阴道超声的灵敏度、特异度、准确度、阳性预测值及阴性预测值均达到100.00%,优于单独使用阴道超声或腹部超声。对于卵巢囊肿蒂扭转诊断,阴道超声的诊断效能高于腹部超声,而两者联合可进一步提高诊断效能(P<0.001)。联合检查的灵敏度为100.00%,特异度为98.68%,准确度达99.00%。对于黄体破裂诊断,与卵巢囊肿蒂扭转的诊断趋势相似,阴道超声较腹部超声具有更高的诊断效能,而两者联合检查进一步提升诊断准确性(P<0.001)。联合检查的灵敏度、阴性预测值均为100.00%,特异度为98.72%。结论在妇产科急腹症的诊断中,阴道超声的诊断价值优于腹部超声,两者联合可进一步提高诊断效能,降低漏诊和误诊的风险,可更加准确地判断妇产科急腹症的类型。Objective To investigate the application value of color Doppler ultrasound in the diagnosis of acute abdominal conditions in gynecology and obstetrics,and to compare the diagnostic efficacy of abdominal ultrasound,transvaginal ultrasound,and their combined use in acute abdominal conditions.Methods A retrospective analysis was conducted on the clinical data of 200 patients with acute abdominal conditions who presented to the Obstetrics and Gynecology Department of the 970th Hospital of the People's Liberation Army at the Weihai campus from July 2022 to July 2024.Hysteroscopic examination results were used as the gold standard to compare the diagnostic efficacy of abdominal ultrasound,transvaginal ultrasound,and their combined use for gynecological and obstetric acute abdominal conditions.Results For the diagnosis of ectopic pregnancy,both abdominal ultrasound and transvaginal ultrasound,as well as their combination,demonstrated significant diagnostic value,with diagnostic efficacy increasing in order(P<0.001).Specifically,the combination of abdominal and transvaginal ultrasound achieved a sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of 100.00%,outperforming either ultrasound method alone.In the diagnosis of ovarian cyst torsion,transvaginal ultrasound exhibited higher diagnostic efficacy than abdominal ultrasound,with the combined approach further enhancing diagnostic performance(P<0.001).The sensitivity of the combined examination was 100.00%,specificity was 98.68%,and accuracy reached 99.00%.For the diagnosis of luteal rupture,a similar trend to that of ovarian cyst torsion was observed,with transvaginal ultrasound exhibiting superior diagnostic efficacy compared to abdominal ultrasound,and the combination of both methods improving diagnostic accuracy(P<0.001).The sensitivity and negative predictive value of the combined examination were both 100.00%,while the specificity was 98.72%.Conclusion In the diagnosis of acute abdominal conditions in gynecology and obstetrics,

关 键 词：腹部超声 阴道超声 妇产科急腹症 

分 类 号：R445.1[医药卫生—影像医学与核医学]