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超声检查在妇科急腹症中的运用体会

Application Experience of Ultrasonic Examination in Gynecologic Acute Abdomen
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摘要 目的总结对各种妇科急腹症行超声检查的体会。方法回顾性分析2013—2015年抚顺市中心医院妇科及急诊科收治的行超声检查的女性急腹症患者50例的超声资料。结果其中异位妊娠35例(输卵管妊娠33例、间质部妊娠2例),急性盆腔炎6例,卵巢黄体破裂6例,卵巢囊肿蒂扭转3例。本组妇科急腹症超声诊断与临床诊断符合率94%,误诊率6%。结论妇科急腹症超声检查,需超声医生熟练掌握各种妇科急腹症的临床表现、实验室检查,仔细观察并准确分析超声影像特征,尽快做出合理诊断,为临床诊疗提供可靠依据,为患争取最佳治疗时机,提高疾病的治愈率。 Objective The aim of the study is to summarize the application experience of ultrasonic examination in various gynecologic acute abdomens. Methods A total of 50 women with gynecologic acute abdomen undergoing ultrasonic examination were retrospectively collected in Gynecology Department and Emergency Department, Fushun Central Hospital, from 2013 to 2015. Results There were 35 eases of ectopie gestation (including 33 cases of tubal pregnancy and 2 cases of interstitial pregnancy), 6 cases of acute pelvic inflammatory disease, 6 cases of ovarian corpus luteum rupture, and 3 eases of ovarian cyst pedicle torsion. The coincidence rate between ultrasonic diagnosis and clinical diagnosis for gynecologic acute abdomen was 94%, and the misdiagnosis rate was 6%. Conclusion The gynecological acute abdomen ultrasonography required ultrasound doctors to master various clinical symptoms and laboratory examination, analyze carefully ultrasonic image and make the reasonable diagnosis, which provides a reliable basis for clinical treatment, strive for the best treatment time for patients, and improve the cure rate of the disease.
作者 胡水平 HU ShuiPing(Ultrasound Department, Fushun Central Hospital, Fushun, 113006, Liaoning Province, Chin)
出处 《中国实用乡村医生杂志》 2018年第3期74-76,共3页 Chinese Practical Journal of Rural Doctor
关键词 妇科 急腹症 超声 体会 Gynecology Acute Abdomen Ultrasound Experience
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参考文献3

  • 1项明慧,任卫东主编..临床超声造影诊断图谱[M].沈阳:辽宁科学技术出版社,2007:145.
  • 2蔡爱露,刘守君主编..超声诊断疑难病例分析[M].沈阳:辽宁科学技术出版社,2008:235.
  • 3孔秋英,谢红宁主编..妇产科影像诊断与介入治疗学[M].北京:人民卫生出版社,2001:546.

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