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目的探讨经阴道超声在妇科急腹症诊断中的应用价值及误诊原因。方法对150例妇产科急腹症患者进行回顾性研究,分析超声图像特点,将超声诊断与手术病理结果对比,并分析误诊原因。结果本组142例患者的超声诊断与手术病理符合,诊断符合率为94.6%;误漏诊8例,误漏诊率约5.4%。结论经阴道超声对妇科急腹症有较高的诊断价值。但当症状及声像图不典型时,易造成误诊或漏诊,此时需结合病史及血象及尿HCG检查,才可避免误诊。
Objective To investigate the value of transvaginal ultrasound in the diagnosis of gynecological acute abdomen and the causes of misdiagnosis. Methods 150 cases of obstetrics and gynecology patients with acute abdomen were retrospectively analyzed, the characteristics of ultrasound images were analyzed, the results of ultrasound and surgical pathology were compared, and the causes of misdiagnosis were analyzed. Results The ultrasound diagnosis of 142 patients in this group was consistent with the surgical pathology. The diagnostic coincidence rate was 94.6%. Eight patients were misdiagnosed and the misdiagnosis rate was 5.4%. Conclusion Transvaginal ultrasound has a higher diagnostic value of gynecological acute abdomen. However, when the symptoms and sonographic atypia, easily lead to misdiagnosis or missed diagnosis, this time combined with history and blood and urinary HCG examination, to avoid misdiagnosis.