摘要
目的探究经腹及经阴道和(或)经会阴超声诊断在妇产科急腹症中的临床应用价值。方法选择某院自2015年6月1日-2017年5月31日收治的97例妇产科急症患者作为研究对象,将其随机分成对照组48例和研究组49例,对照组采用常规的经腹超声检查,研究组采用经腹超声联合经阴道和(或)经会阴超声检查,在检查完成后,对所有患者行手术病理检查,通过病理检查结果,对比两组患者诊断符合率。结果经腹超声对异位妊娠的诊断符合率为83.3%,对黄体破裂的诊断符合率为66.7%,对卵巢囊肿蒂扭转的诊断符合率为60.0%,对附件区炎性包块的诊断符合率为81.8%,对前置胎盘的诊断符合率为83.3%,对胎盘早剥的诊断符合率为75.0%;经腹超声联合经阴道和(或)经会阴超声对异位妊娠的诊断符合率为91.7%,对黄体破裂的诊断符合率为90.0%,对卵巢囊肿蒂扭转的诊断符合率为88.9%,对附件区炎性包块的诊断符合率为85.7%,对前置胎盘的诊断符合率为80.0%,对胎盘早剥的诊断符合率为83.3%.研究组诊断的准确率83.3%明显高于对照组75.0%,误诊率12.2%明显低于对照组25.0%,两组对比差异显著P<0.05。结论经腹超声联合经阴道和(或)经会阴超声诊断妇产科急症的准确率较高,因此临床可将其检查结果作为患者临床诊断的重要依据。
Objective To investigate the clinical value of the application of transabdominal, transvaginal and/or transperineal ultrasound in obstetrics and gynecology department. Methods A total of 97 cases of obstetrics and gynecology patients with acute abdomen admitted in our hospital from June 2015 to May 2017 were randomly divided into control group（48 cases）and study group（49 cases）,control group Using conventional transabdominal ultrasonography,the study group was transabdominal ultrasound combined with transvaginal and/or transperineal ultrasound examination, after the completion of the examination, all patients underwent surgical pathology, pathological examination results, the two groups were compared with the diagnostic criteria rate. Results The diagnostic accuracy rate of transabdominal sonography for ectopic pregnancy was 83.3%,the diagnostic accuracy rate for luteal rupture was 66.7%,and the diagnostic accuracy for diagnosis of ovarian cyst torsion was 60.0%.The diagnosis of inflammatory mass The coincidence rate was 81.8%,the coincidence rate of diagnosis of placenta previa was 83.3%, and the coincidence rate of diagnosis of placental abruption was 75.0%. The diagnosis of ectopic pregnancy by transabdominal ultrasonography combined with transvaginal and/or perineal ultrasound was consistent The rate was 91.7%, the coincidence rate of diagnosis of corpus luteum rupture was 90.0%, the coincidence rate of diagnosing ovarian cyst torsion was 88.9%, and the diagnostic coincidence rate of inflammatory mass in accessory area was 85.7%.The diagnosis of placenta previa The coincidence rate was 80.0%. The coincidence rate of diagnosis of placental abruption was 83.3%.The diagnostic accuracy of the study group was significantly higher than that of the control group（83.3% vs 75.0%）,and the rate of misdiagnosis（12.2%）was significantly lower than that of the control group 25.0%）,the difference between the two groups was significant（P〈0.05）.Conclusions The accuracy of transabdominal ultrasonography
作者
史春玲
权贤芳
李培英
杨蕾
高英
Shi Chunling;Quan Xianfang;Li Peiying;Yang Lei;Gao Ying(Department of Ultrasound,Baoji City People＇s Hospital of Shanxi Province,Baoji 721000,China)
出处
《中国病案》
2018年第10期89-92,共4页
Chinese Medical Record
关键词
经腹超声
经阴道超声
经会阴超声
妇产科急症
诊断
Transabdominal ultrasound
Transvaginalultrasound
Transperineal ultrasound
Obstetrics andgynecology emergency
Diagnosis
