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目的:探讨超声在妊娠期外科急腹症诊断中的作用。方法:回顾性分析妊娠期合并外科急腹症52例患者的临床资料,分析超声对各种外科急腹症的诊断符合率。结果:超声的总诊断符合率为90.4%,急性阑尾炎符合率为91.3%;急性胆囊炎符合率为92.3%,急性胰腺炎符合率为66.7%,急性肠梗阻符合率为75.0%,外伤性脾破裂诊断符合率为100.0%,外伤性肝破裂诊断符合率为100.0%,泌尿系统结石诊断符合率为100.0%。结论:超声具有便捷、无创、无射线,可重复检查的特点,能为妊娠期外科急腹症的临床诊断提供可靠的依据,是急腹症首选的检查手段。
Objective: To investigate the role of ultrasound in the diagnosis of surgical acute abdomen during pregnancy. Methods: The clinical data of 52 patients with surgical acute abdomen during pregnancy were retrospectively analyzed. The coincidence rate of ultrasonic diagnosis of various acute abdomen was analyzed. Results: The total diagnostic coincidence rate of ultrasound was 90.4%, acute appendicitis coincidence rate was 91.3%, acute cholecystitis coincidence rate was 92.3%, acute pancreatitis coincidence rate was 66.7%, acute intestinal obstruction coincidence rate was 75.0%, traumatic spleen The coincidence rate of rupture diagnosis was 100.0%, the diagnosis rate of traumatic liver rupture was 100.0%, and the coincidence rate of urinary calculi was 100.0%. Conclusion: Ultrasound has the characteristics of convenience, noninvasiveness, no radiation and repeatable examination. It can provide a reliable basis for clinical diagnosis of acute abdomen during pregnancy and is the first choice of examination for acute abdomen.