探讨腹部B超与阴道B超诊断妇产科急腹症的诊断效果.docVIP

精品论文 参考文献 探讨腹部B超与阴道B超诊断妇产科急腹症的诊断效果 1大庆油田总医院 163000; 2鹤岗市人民医院 154101 【摘 要】目的 研究分析腹部B超与阴道B超诊断妇产科急腹症的效果观察。方法 此次研究的对象是选择121例妇产科急腹症患者，对其临床资料进行回顾性分析，所有患者均进行常规腹部B超、阴道B超及腹部B超联合阴道B超检查，以术后病理诊断为准，比较3种检查方法的临床诊断符合率。结果 术后病理诊断结果显示，121例妇产科急腹症患者中，异位妊娠破裂50例，胚胎停止发育35例，急性盆腔炎症21例，黄体破裂11例，宫颈粘连4例。腹部B超诊断确诊95例，确诊率为78.5%；阴道B超诊断确诊 107例，确诊率为88.4%；腹部B超联合阴道B超诊断确诊114例，确诊率为94.2%；腹部B超联合阴道B超诊断准确率明显高于单一B超检查方式，差异有统计学意义（Plt;0.05）。结论 腹部B超、阴道B超均具有较高的诊断价值，且诊断过程方便无痛苦，可在基层医院进行广泛推广。但是，在诊断妇产科急腹症时，两种检查方法均存在一定局限性。通过临床实践经验表明，腹部B超联合阴道B超检查妇产科急腹症，可显著提高患者诊断准确性，进而为临床制定治疗方案提供便利条件，在妇产科急腹症诊疗工作中具有重要意义。 【关键词】腹部B超；阴道B超；妇产科；急腹症 [Abstract] Objective To observe the analysis of abdominal ultrasound and transvaginal ultrasound in diagnosis of gynecological acute abdomen effect.The research object is the method of 121 cases of gynecological acute abdomen patients，the clinical data were retrospectively analyzed，all patients underwent routine abdominal ultrasound and transvaginal ultrasound and abdominal ultrasound and vaginal ultrasound examination，with postoperative pathological diagnosis as the standard，the coincidence rate of clinical diagnosis by comparing 3 methods of inspection.The results showed that the postoperative pathologic diagnosis results of 121 cases of acute abdomen patients，50 cases of ruptured ectopic pregnancy，35 cases of embryo death，acute pelvic inflammation in 21 cases，11 cases of corpus luteum rupture，4 cases of cervical adhesions.Abdominal ultrasound diagnosed 95 cases，the diagnosis rate was 78.5%; 107 cases were diagnosed by transvaginal ultrasound diagnosis，the diagnosis rate was 88.4%; abdominal ultrasound combined with transvaginal ultrasound diagnosed 114 cases，the diagnosis rate was 94.2%; the accuracy rate of abdominal ultrasound combined with transvaginal ultrasound diagnosis was significantly higher than that of single ultrasound，the difference was statistically significant（Plt;0.05）.Conclusion abdominal B ultrasound，vaginal B ultrasound have a high diagnostic value，an