摘要
目的研究分析经腹部与阴道超声联合诊断妇产科急腹症的临床价值。方法择取2013年6月至2014年6月期间在本院妇产科接受诊治的64例急腹症患者，均采取腹部、阴道超声检查。结果本组64例患者中，异位妊娠流产破裂者25例，前置胎盘者16例，各种类型流产者13例，急性盆腔炎症者5例，卵巢黄体囊肿破裂者3例，卵巢肿瘤蒂扭转者1例，急性子宫穿孔者1例。其中，62例患者超声检查结果与病理结果相符，诊断符合率为96．88％。而单纯的经腹超声检查有9例漏诊，诊断符合率为85．9％。二者比较有显著性差异（X2=4．873，P=0．027）。结论经腹部与阴道超声联合诊断显著优于单纯的经腹超声检查，对于妇产科急腹症具有极高的临床价值，同时其具有操作简便、诊断率高、痛苦少等特点，得到了临床的认可，值得推广。
Objective To analysis the clinical value of combining abdominal and transvaginal ultrasound diagnosis on acute abdomen ogy in Obstetrics and Gynecol. Methods A total of 64 cases of obstetrics and gynecology patients whose treatment with acute abdomen during June 2013 to June 2014 in our hospital were choosed and taken to the abdomen,vaginal ultrasound. Results The 64 patients which including 25 cases with abortion ruptured ectopic pregnancy, 16 cases of placenta previa,various types of abortion in 13 cases, 5 cases of acute pelvic inflammatory disease, 3 cases of ovarian corpus luteum cyst rupture, 1 case of ovarian cancer torsion in, 1 case of acute uterine perforation by pathological examination. Among them, 62 cases of test results by abdominal and vaginal ultrasound diagnostic the combination were consistented with the pathological findings, and diagnostic accuracy was 96.88 %. But 9 cases were misdiagnosed with pure abdominal ultrasound examination,and diagnostic accuracy was 85.9 %. there was significant difference between abdominal and vaginal ultrasound diagnostic the combination and pure abdominal ultrasound examination（x2 = 4. 873,P= 0. 027）. Conclusion The method of abdominal and vaginal ultrasound diagnostic the combination was better than that of pure abdominal ultrasound examination on diagnosing acute abdomen obstetrics, which is simple, the high diagnostic accuracy rate and less pain,etc. , has been clinically recognized and be worth Promoting.
出处
《检验医学与临床》
CAS
2015年第A01期177-178,共2页
Laboratory Medicine and Clinic
关键词
腹部超声和阴道超声
超声
妇产科急腹症
诊断
transabdominal and transvaginal ultrasonography
ultrasonography
acute abdomen in obstetrics and gynecology
diagnosis
