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目的 :探讨腹部B超联合阴道B超诊断妇产科急腹症的应用价值。方法 :对我院收治的120例妇产科急腹症患者的临床资料进行回顾性分析。结果:经过病例和手术确诊、保守治疗的120例妇产科急腹症患者中,经阴道B超诊断有12例误诊,1例漏诊,107例诊断准确,诊断符合率为89.2%。经腹部B超诊断有25例误诊,5例漏诊,90例诊断准确,诊断符合率为75%。将阴道B超和腹部B超进行联合应用,有6例误诊,2例漏诊,112例诊断准确,诊断准确率为93.3%。结论 :对妇产科急腹症患者联合应用阴道B超和腹部B超可取得良好的效果,使得诊断准确率提升且不良反应少,值得推广。
Objective: To explore the value of abdominal ultrasonography combined with vaginal ultrasonography in the diagnosis of obstetrics and gynecology acute abdomen. Methods: The clinical data of 120 cases of obstetrics and gynecology acute abdomen admitted in our hospital were analyzed retrospectively. Results: Among the 120 cases of obstetrics and gynecology acute abdomen diagnosed by case and operation, 12 cases were misdiagnosed by vaginal ultrasonography, 1 case missed diagnosis and 107 cases diagnosed correctly. The coincidence rate was 89.2%. Twenty-five cases were misdiagnosed by abdominal B-ultrasound, 5 cases were missed by diagnosis, 90 cases were diagnosed correctly, and the diagnostic coincidence rate was 75%. Vaginal ultrasonography combined with abdominal B ultrasound, 6 cases of misdiagnosis, 2 cases of missed diagnosis, 112 cases of diagnostic accuracy, diagnostic accuracy was 93.3%. Conclusion: Obstetrics and Gynecology acute abdomen patients combined with vaginal B-ultrasound and abdominal B-ultrasound can get good results, making the diagnostic accuracy and adverse reactions less worthy of promotion.