摘要
目的对彩色多普勒超声在妇科急腹症诊断中的应用价值进行分析。方法选取2016年3月~2018年3月在我院接受治疗的100例妇科急腹症患者作为本次研究对象,所有患者均进行彩色多普勒超声诊断,同时,所有患者进行病理证实,最后将彩色多普勒超声诊断与病理诊断进行对比,据此对彩色多普勒超声在妇科急腹症诊断中的应用价值进行研究。结果对比彩色多普勒超声诊断与病理诊断可知,联合彩超诊断的符合率可达到97%,彩色多普勒超声诊断与病理诊断差异无统计学意义(P>0.05);异位妊娠是急腹症的主要症状,其中超声诊断例数为78例,占比80.41%;病理诊断例数为79例,占比79%,两种诊断阶段都表示异位妊娠症状与其他症状在比例方面存在明显差异,组内差异有统计学意义(P<0.05);经阴道彩超诊断的符合率为88%,经腹部彩超诊断的符合率为79%,实施联合彩色多普勒超声诊断的符合率要高于单一方式的诊断,差异有统计学意义(P<0.05);而经阴道与经腹部实施彩色多普勒超声诊断差异无统计学意义(P>0.05)。结论采用彩色多普勒超声对妇科急腹症进行诊断,其准确率比较高,从而提升诊断的有效性,为临床治疗奠定基础,值得推广。
Objective To analyze the application value of color Doppler ultrasound in the diagnosis of gynecological acute abdomen. Methods 100 patients with gynecological acute abdomen who were treated in our hospital from March 2016 to March 2018 were selected as research subjects. All patients were diagnosed by color Doppler ultrasound. At the same time, all patients were confirmed by pathology. The color Doppler ultrasound diagnosis and pathological diagnosiswere compared to study the application value of color Doppler ultrasound in the diagnosis of gynecological acute abdomen. Results By comparing color Doppler ultrasound diagnosis with pathological diagnosis, the coincidence rate of combined color ultrasound diagnosis could reach 97%. There was no statistically significant difference between color Doppler ultrasound diagnosis and pathological diagnosis(P > 0.05). Ectopic pregnancy is the main symptom of acute abdomen, among which 78 cases were diagnosed by ultrasound, accounting for 80.41%. The number of pathological diagnosis cases was 79, accounting for 79%. Both diagnosis stages indicated that there was a significant difference in the proportion between the symptoms of ectopic pregnancy and other symptoms, and the difference within the group was statistically significant(P < 0.05). The coincidence rate of transvaginal ultrasonography was 88%, and that of transabdominal ultrasonography was 79%. The coincidence rate of the combined color Doppler ultrasound diagnosis was higher than that of the single method, and the difference was statistically significant(P < 0.05). However, there was no significant difference between transvaginal and transabdominal color Doppler ultrasonography, with no statistical significance(P > 0.05). Conclusion The color Doppler ultrasound in diagnosis of gynecological acute abdomen is relatively high has a higher accuracy rate. It can improve the diagnostic effectiveness and lays the foundation for clinical treatment, which is worth promoting.
作者
李刚
贺宏州
LI Gang;HE Hongzhou(Jingzhou Third People Hospital, Hubei, Jingzhou 434001, China)
出处
《中国医药科学》
2019年第13期153-156,234,共5页
China Medicine And Pharmacy
关键词
彩色多普勒超声
病理诊断
妇科急腹症
应用价值
异位妊娠
准确率
Color Doppler ultrasound
Pathological diagnosis
Gynecological acuteabdomen
Application value
Ectopic pregnancy
Accuracy rate
