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目的:评价超声在诊断妊娠合并急腹症中的临床应用价值。方法:回顾分析686例妊娠合并急腹症患者的临床资料,总结妊娠合并急腹症超声图像特征。结果:超声诊断符合率为:异位妊娠87.2%(184/211),急性阑尾炎84.2%(32/39),卵巢囊肿蒂扭转90.0%(27/30),急性胰腺炎66.7%(6/9),不全流产及难免流产、子宫肌瘤扭转、子宫肌瘤红色变性、胎盘早剥、泌尿系结石、急性胆囊炎和胆结石、急性胃肠炎、急性肠梗阻的诊断率为100%(43/43)。结论:超声可以作为妊娠合并急腹症首选的检查手段,为临床早期诊断及治疗提供可靠依据。
Objective: To evaluate the clinical value of ultrasound in diagnosing acute abdomen with pregnancy. Methods: The clinical data of 686 cases of pregnancy complicated with acute abdomen were retrospectively analyzed, and the features of ultrasound images of pregnant women with acute abdomen were summarized. Results: The coincidence rate of ultrasound diagnosis was 87.2% (184/211) in ectopic pregnancy, 84.2% (32/39) in acute appendicitis, 90.0% (27/30) in ovarian cyst, 66.7% in acute pancreatitis ), Incomplete abortion and unavoidable abortion, the diagnosis of uterine fibroids reverse, red degeneration of uterine fibroids, placental abruption, urinary stones, acute cholecystitis and gallstones, acute gastroenteritis, acute intestinal obstruction was 100% (43 / 43). Conclusion: Ultrasound can be used as the first choice of examination in pregnancy with acute abdomen, and provide a reliable basis for early diagnosis and treatment.