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目的:探讨妇科急腹症中经阴道联合腹部超声检查的应用价值。方法:对紫金县人民医院2014年1月至2016年10月治疗的48例妇科急腹症患者进行临床回顾分析。将患者分为观察组和对照组,其中对照组患者采用单纯腹部超声检查,观察组患者采用经阴道联合腹部超声检查,最后将两组患者检查结果与病理结果进行对比,分析检查结果的准确性。结果:观察组患者有22例诊断结果符合病理检查,准确率为91.67%(22/24),对照组患者有18例诊断结果符合病理检查,准确率为75.00%(18/24),观察组患者检查准确率明显高于对照组,差异具有统计学意义(P<0.05)。结论:经阴道联合腹部超声检查准确性高于单纯腹部超声检查,可在妇科急腹症病理检查前提供可靠的诊断依据。
Objective: To investigate the value of transvaginal abdominal ultrasonography in gynecologic acute abdomen. Methods: The clinical data of 48 cases of gynecological acute abdomen treated in Zijin People’s Hospital from January 2014 to October 2016 were retrospectively analyzed. The patients were divided into observation group and control group, in which the control group of patients with simple abdominal ultrasound, the observation group by transvaginal abdominal ultrasound, and finally the two groups of patients with the results of pathological examination were compared to analyze the accuracy of the test results . Results: The results of 22 cases in the observation group were in accordance with the pathological examination, with an accuracy rate of 91.67% (22/24). In the control group, 18 cases were diagnosed according to pathological findings with an accuracy rate of 75.00% (18/24) The accuracy of patient examination was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion: The accuracy of transvaginal abdominal ultrasonography is higher than that of simple abdominal ultrasonography, which can provide a reliable basis for diagnosis before the pathological examination of gynecologic acute abdomen.