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目的:探讨县级医院应用超声影像学手段检查出现漏误诊情况的原因与对策。方法:选取2014年5月~2016年5月在医院进行超声检查的急腹症患者438例,统计检查结果和漏误诊率,分析原因,制定对策。结果:438例中,胆石症急性胆囊炎113例,均确诊,符合率100%;肠梗阻23例,确诊18例,漏误诊5例,符合率78.3%,呈最低显示;急性阑尾炎33例,确诊27例,漏误诊6例,符合率81.8%,居其次。结论:临床大部分急腹症患者采用超声检查,可为诊断与鉴别诊断提供依据,但也存在一定的漏误诊情况,应强化正确诊断方法,以提高诊断符合率。
Objective: To investigate the causes and countermeasures of misdiagnosis of missed and misdiagnosed cases by using ultrasonic imaging in county hospitals. Methods: From May 2014 to May 2016, 438 patients with acute abdomen who underwent ultrasonic examination in the hospital were selected. The results of the statistical tests and misdiagnosis rate were analyzed and the causes were analyzed. Results: Of the 438 cases, 113 cases were diagnosed as cholelithiasis with acute cholecystitis, and the coincidence rate was 100%. There were 23 cases with intestinal obstruction, 18 cases were confirmed and 5 cases were misdiagnosed. The coincidence rate was 78.3% 27 cases were diagnosed, misdiagnosis in 6 cases, with a rate of 81.8%, ranking second. Conclusion: Most patients with acute abdomen in clinical use of ultrasound examination, which can provide the basis for diagnosis and differential diagnosis, but there are also some misdiagnosis situation, should strengthen the correct diagnosis method to improve diagnostic accuracy.