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目的观察和分析采用阴道超声对妇科急腹症进行早期诊断的临床情况。方法 60例妇科急腹症疑似患者,分别采用经腹部超声检查以及经阴道超声检查进行临床诊断,比较两种方法的检查结果。结果阴道超声在检出符合率(93.33%)、阴性预测值(42.86%)以及敏感度(92.98%)方面均显著优于腹部超声检查(81.67%,21.43%,80.70%),比较差异有统计学意义(P<0.05)。但在阳性预测值以及特异度方面两种检查方法均为100.00%,比较差异无统计学意义(P>0.05)。结论采用阴道超声对妇科急腹症进行诊断,其检出率和准确率高,是一种科学、有效、理想的临床诊断方法。
Objective To observe and analyze the clinical situation of early diagnosis of gynecologic acute abdomen by vaginal ultrasound. Methods Sixty cases of suspected acute abdomen gynecologic patients were diagnosed by transabdominal ultrasonography and transvaginal ultrasonography respectively. The results of two methods were compared. Results Vaginal ultrasound was significantly superior to abdominal ultrasonography (81.67%, 21.43%, 80.70%) in detection of coincidence rate (93.33%), negative predictive value of 42.86% and sensitivity of 92.98% Significance (P <0.05). However, the positive predictive value and specificity of the two test methods were 100.00%, the difference was not statistically significant (P> 0.05). Conclusions The diagnosis of gynecological acute abdomen by vaginal ultrasound has high detection rate and accuracy, which is a scientific, effective and ideal clinical diagnosis method.