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目的探讨超声诊断在妇科急腹症临床诊断中的应用价值。方法选取近期医院收治的妇科急腹症患者116例,均应用全数字彩色多普勒超声诊断仪进行腹部检查或阴道检查,作出初步诊断,将诊断结果与手术病理结果进行对比,分析超声在妇科急腹症诊断中的应用价值。结果 116例患者经手术病理检查证实,异位妊娠破裂72例,卵巢黄体破裂16例,卵巢肿瘤扭转10例,急性盆腔炎10例,前置胎盘8例。超声诊断与手术病理检查诊断结果相比,诊断结果相符106例(91.38%);漏诊误诊(子宫穿孔)10例(8.62%)。结论超声检查可在发病早期做出诊断,其诊断准确率高达90%以上,且具有简单、快捷、无创伤等优点,可作为妇科急腹症首选临床诊断方式。
Objective To investigate the value of ultrasonic diagnosis in the clinical diagnosis of acute abdomen. Methods A total of 116 patients with gynecologic acute abdomen admitted in the recent hospital were enrolled. All patients were examined by abdominal or vaginal examination with full digital color Doppler sonography. The diagnostic results were compared with the surgical pathology results. Diagnostic value of acute abdomen. Results 116 patients were confirmed by operation and pathology. There were 72 cases of rupture of ectopic pregnancy, 16 cases of rupture of ovary, 10 cases of ovarian tumor reverse, 10 cases of acute pelvic inflammatory disease and 8 cases of placenta previa. Compared with the results of pathological examination, the diagnostic results were in accordance with the diagnostic results of ultrasound (106 cases) (91.38%); misdiagnosis (uterine perforation) in 10 cases (8.62%). Conclusion Ultrasonography can make diagnosis in the early stage of the disease. The accuracy of diagnosis is over 90%. It has the advantages of simple, quick, non-invasive and can be used as the first choice of clinical diagnosis for gynecological acute abdomen.