摘要
目的探讨超声在妇科急腹症中的诊断价值及鉴别诊断。方法选取68例妇科急腹症患者,均采用彩色多普勒超声检查,并与术后病理结果进行比较,计算超声诊断符合率。结果本研究所有患者均完成超声检查,其中异位妊娠38例,急性盆腔炎7例,不完全性流产10例,卵巢囊肿破裂5例,卵巢囊肿蒂扭转2例。术后病理诊断为异位妊娠40例,急性盆腔炎8例,不完全性流产12例,卵巢囊肿破裂6例,卵巢囊肿蒂扭转2例。超声诊断异位妊娠、急性盆腔炎、不完全性流产、卵巢囊肿破裂、卵巢囊肿蒂扭转的符合率依次为95.00%、87.50%、83.33%、83.33%、100.00%,总符合率为91.18%。结论超声检查具有操作简便、无创、快速等优点,可以为妇科急腹症的诊断与鉴别诊断提供较为可靠的影像学依据。
Objective To explore the value of uhrasonography in diagnosis of patients with gynecological acute abdomen and differential diagnosis. Methods Totally 68 patients with gynecological acute abdomen were selected. Color Doppler ultrasonography was performed for all the pa- tients, and the results of ultrasonography were compared with the postoperative pathological results. The coincidence rate of ultrasound diagnosis was calculated. Results All the patients underwent ultrasonography, including 38cases of ectopic pregnancy, 7 cases of acute pelvic inflammatory disease, 10 cases of incomplete abortion, 5 cases of ovarian cyst rupture, and 2 cases of ovarian cyst torsion. Postoperative pathological diagnosis showed that there were 40 cases of ectopic pregnancy, 8 cases of acute pelvic inflammatory disease, 12 cases of incomplete abortion, 6 cases of ovarian cyst rupture, and 2 cases of ovarian cyst torsion. Coincidence rates of ultrasonography in diagnosing ectopic preg- nancy, acute pelvic inflammatory disease, incomplete abortion, ovarian cyst rupture and ovarian cyst torsion were 95.00% , 87.50% , 83.33% , 83.33% and 100.00% respectively, and the total coin- cidence rate was 91.18%. Conclusion Ultrasonography has the advantages such as simple opera- tion, non-invasive, rapid and so on. It can provide a reliable imaging information for the diagnosis and differential diagnosis of gynecological acute abdomen.
出处
《实用临床医药杂志》
CAS
2018年第5期104-107,共4页
Journal of Clinical Medicine in Practice
关键词
超声
妇科急腹症
诊断符合率
鉴别诊断
诊断
uhrasonography
gynecological acute abdomen
coincidence rate of diagnosis
differential diagnosis
diagnosis
