摘要
应用B超检查 122例妇科急腹症,其中 112例手术后作病理检查,10例盆腔炎在B超动态观察下,保守治疗痊愈。结果表明B超对其病变性质的诊断符合率为87.7％。文中对某些妇科急腹症的典型图像及误诊原因作了描述及分析。值得重视的是,腹腔或直肠子宫陷凹内有积液是妇科急腹症的重要征象,若声像图与临床资料相结合,可明显提高B超对其病变诊断符合率。
This paper presents the results of ultrasongraphy in 122 cases of gynecologic acute abdomen,of which 112 were confirmed by surgical exploration and biopsy, and 10 of pelvic inflummatory disease were cured by conservative therapy under the dynamic observation of B-mode ultrasonography. The results showed that the accuracy of sonographlc diagnosis was 87.7%(107/122 cases). In addition, the causes of wrong diagnosis are analysed and the typical sonographic features of some acute gynecologic disease are described. It should be emphasized that the peritoneal fluid in abdominal or depressed rectouterinus is an important sign of gynecologic acute abdomen, and the combination of sonographic findings with clinical data is very helpful in the accurate diagnosis of gynecologic acute abdomen.
出处
《同济医科大学学报》
CAS
CSCD
北大核心
1993年第1期54-56,共3页
Acta Universitatis Medicinae Tongji
关键词
妇科
急腹症
超声波
诊断
gynecologic acute abdomen
depressed rectouterinus
ultrasono-graphy
diagnosis, differential
