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目的:探究在妇科急腹症疾病的临床诊断中,采取B超进行诊断,其临床应用效果。方法:选取2012年8月~2014年11月本院收治的95例妇科急腹症病人作为研究对象,全部95例病人都采取B超实施诊断,比较其与手术病理方式,在诊断上的效果。结果:95例妇科急腹症病人中,在经过手术病理方式进行诊断后发现,有39例病人存在异位妊娠,有9例病人存在流产,有18例病人存在急性盆腔炎,有15例病人存在黄体破裂,另外有14例病人存在卵巢囊肿蒂扭转;在对其实施B超诊断后,出现误诊的只有5例(5.26%),出现漏诊的有1例(1.05%),误诊主要出现在异位妊娠3例,急性盆腔炎和黄体破裂各1例,漏诊方面主要出现在异位妊娠1例,其诊断正确率高达93.68%。结论:在妇科急腹症疾病的临床诊断中,采取B超进行诊断,其具有很高的诊断准确率,同时其诊断操作十分简单便捷,其成本不高,借助B超诊断,同时结合病人实际临床症状等信息,能够极大的减少漏诊及误诊情况的发生,这对于病人疾病的及时治疗,具有积极意义,因此B超诊断在妇科急腹症的临床诊断及治疗中,有着积极的推广价值。
Objective: To explore the clinical diagnosis of acute abdomen gynecological diseases, the diagnosis of B-ultrasound, the clinical application. Methods: A total of 95 patients with gynecologic acute abdomen treated in our hospital from August 2012 to November 2014 were enrolled in this study. All 95 patients were diagnosed by B-mode ultrasonography and compared with the surgical pathology. . Results: Of the 95 patients with gynecologic acute abdomen, 39 patients had ectopic pregnancy after diagnosis by surgical pathology, 9 patients had abortion, 18 patients had acute pelvic inflammatory disease, and 15 patients There were luteal rupture and 14 cases had torsion of ovarian cyst. Only 5 cases (5.26%) misdiagnosed and 1 case (1.05%) misdiagnosed after B-ultrasound diagnosis. Misdiagnosis mainly occurred in Ectopic pregnancy in 3 cases, acute pelvic inflammatory disease and luteal rupture in 1 case, missed diagnosis mainly in 1 case of ectopic pregnancy, the diagnostic accuracy as high as 93.68%. Conclusion: In the clinical diagnosis of gynecologic acute abdomen disease, B-ultrasound is used to diagnose it, which has a high diagnostic accuracy. At the same time, its diagnostic operation is very simple and convenient, its cost is not high, with B-ultrasound diagnosis, combined with the actual patient Clinical symptoms and other information, can greatly reduce the occurrence of missed diagnosis and misdiagnosis, which is of positive significance for the timely treatment of patients with disease, so B-ultrasound diagnosis of gynecological acute abdomen in the clinical diagnosis and treatment, has a positive promotional value .