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目的:探讨经腹B超检查、经阴道B超检查、经腹联合经阴道B超检查对妇科急腹症的诊断价值,为妇科急腹症的临床诊断提供理论依据。方法:本研究选取了2010年3月至2014年3月我院收治的146例妇科急腹症患者作为研究对象,对患者的临床治疗资料进行回顾性分析,观察经腹B超检查、经阴道B超检查、经腹联合经阴道B超检查对不同急腹症的临床诊断准确率和确诊结果符合率。结果:三种B超检测方法对黄体囊肿破裂、宫外孕的诊断准确率经比较无统计学差异(P>0.05);经腹部、经阴道B超超检查卵巢囊肿蒂扭转的诊断准确率分别为68.2%和86.4%,而经腹部联合经阴道B超检查的准确率为91.0%,且差异具有统计学意义;经腹部、经阴道B超超检查急性盆腔炎症的诊断准确率分别为75.0%和81.3%,而经腹部联合经阴道B超检查的准确率为87.5%,且差异具有统计学意义。经腹部联合经阴道B超检查对妇科急腹症临床确诊符合率(93.2)高于单纯经腹部(82.2%)和经阴道B超检查(86.3%)。结论:与单纯使用经腹或经阴道B超检查相比,经腹联合经阴道B超检查对妇科急腹症的诊断效果具有显著优势,值得推荐。
OBJECTIVE: To investigate the diagnostic value of transabdominal ultrasonography, transvaginal ultrasonography and transvaginal ultrasonography in the diagnosis of gynecologic acute abdomen, and to provide a theoretical basis for the clinical diagnosis of gynecologic acute abdomen. Methods: 146 patients with gynecologic acute abdomen treated in our hospital from March 2010 to March 2014 were selected as the research object. The clinical data of the patients were retrospectively analyzed. The transabdominal ultrasonography, B-ultrasound, transabdominal vaginal B ultrasound examination of different acute abdomen clinical diagnosis accuracy and confirmed the coincidence rate. Results: The diagnostic accuracy of the three methods of B-ultrasound detection of luteal cyst rupture and ectopic pregnancy was no significant difference (P> 0.05). The accuracy of diagnosis of ovarian cyst torsion by abdominal and transvaginal ultrasonography was 68.2 % And 86.4% respectively. The accuracy of transvaginal ultrasonography combined with transvaginal ultrasonography was 91.0%, and the difference was statistically significant. The diagnostic accuracy of abdominal pelvis and transvaginal ultrasonography in diagnosing pelvic inflammatory disease was 75.0% and 81.3% respectively %, While the transabdominal combined transvaginal B-ultrasound accuracy was 87.5%, and the difference was statistically significant. The coincidence rate (93.2%) of transabdominal combined with transvaginal ultrasonography in diagnosing gynecologic acute abdomen was higher than that of transvaginal ultrasonography (86.3%). Conclusion: Compared with the simple use of transabdominal or transvaginal ultrasonography, transabdominal combined with transvaginal ultrasonography has significant advantages in the diagnosis of gynecological acute abdomen. It is recommended.