论文部分内容阅读
目的研究超声诊断对妇科急腹症的诊断价值。方法选取2014年2月至2015年2月海南三亚市人民医院急诊科收治的疑患妇科急腹症的108例女性患者,采用腹部联合阴道超声检查,以手术病理或临床医师最终诊断为准,判断两种检查及联合检查的应用效果,并分析误诊原因。结果诊断准确率腹部超声为65.74%,经阴道超声为78.70%,联合诊断为88.89%,差异均有统计学意义(P<0.05)。结论超声检查对妇科急腹症的诊断较准确,但在临床工作中,不可单一观察声像图,需注意患者的月经史、有无阴道流血、后穹窿穿刺结果及人绒毛膜促性腺激素检测情况,以免误诊。
Objective To study the diagnostic value of ultrasonic diagnosis for gynecologic acute abdomen. Methods A total of 108 female patients with suspected gynecologic acute abdomen admitted to the emergency department of Sanya People’s Hospital from February 2014 to February 2015 were selected with abdominal combined vaginal ultrasonography and the final diagnosis was based on the surgical pathology or clinician. Judge the application of the two kinds of examinations and joint examinations, and analyze the causes of misdiagnosis. Results The accuracy rate of diagnosis of abdominal ultrasound was 65.74%, transvaginal ultrasound was 78.70%, combined diagnosis was 88.89%, the difference was statistically significant (P <0.05). Conclusions Ultrasonography is more accurate for the diagnosis of gynecologic acute abdomen. However, in clinical work, it is not necessary to observe the sonography, need to pay attention to the patient’s history of menstruation, vaginal bleeding, posterior fornix puncture and human chorionic gonadotropin Situation, so as not to misdiagnosis.