论文部分内容阅读
目的:探讨经阴道及腹部联合彩色多普勒超声在妇产科急腹症中的诊断价值。方法:采用超声检查对73例妇科急腹症患者进行检查,将超声诊断结果与临床、手术或者病理诊断结果进行对比。结果:73例超声诊断与临床最终诊断符合66例(90.4%),误诊7例(9.6%)。超声诊断异位妊娠50例,其中输卵管妊娠40例,宫角妊娠5例,卵巢妊娠1例;误诊4例,临床确诊为附件炎性包块2例,阑尾炎2例。超声诊断黄体破裂17例,其中误诊3例,临床确诊为异位妊娠2例,盆腔炎1例。结论:经阴道及腹部联合彩色多普勒超声诊断妇产科急腹症方便、无痛、安全、便利,且可重复使用,是妇科急腹症的有效检查方法,能提高诊断准确率。
Objective: To investigate the diagnostic value of transvaginal and abdominal combined color Doppler ultrasonography in acute abdomen obstetrics and gynecology. Methods: 73 cases of gynecological acute abdomen were examined by ultrasonography. The results of ultrasonic diagnosis were compared with those of clinical, surgical or pathological diagnosis. Results: Totally 66 cases (90.4%) were diagnosed in 73 cases and 7 cases (9.6%) were misdiagnosed as clinical final diagnosis. Echocardiography diagnosis of ectopic pregnancy in 50 cases, of which 40 cases of tubal pregnancy, uterine horn pregnancy in 5 cases, ovarian pregnancy in 1 case; misdiagnosed in 4 cases, clinically diagnosed as annex inflammation mass in 2 cases, appendicitis in 2 cases. Ultrasound diagnosis of corpus luteum rupture in 17 cases, of which 3 cases were misdiagnosed as clinically diagnosed as ectopic pregnancy in 2 cases, pelvic inflammatory disease in 1 case. Conclusion: Transvaginal and abdominal combined color Doppler ultrasound in the diagnosis of obstetrics and gynecology acute abdomen is convenient, painless, safe, convenient and reusable. It is an effective method to diagnose acute abdomen in gynecology. It can improve the diagnostic accuracy.