超声诊断对妇科急腹症的临床诊断价值

Diagnosis value of ultrasound diagnosis of gynecologic acute abdomen

目的探讨B型超声对妇科急腹症的临床诊断价值。方法回顾性分析90例妇科急腹症患者的B型超声检查结果,并与临床诊断进行对比分析。结果本组确诊异位妊娠51例(56.7%),卵巢子宫内膜异位症19例(21.1%),黄体破裂13例(14.4%),卵巢囊肿蒂扭转7例(7.8%)。与手术病理比较,B型超声诊断符合83例,诊断符合率为92.2%,误诊7例,误诊率为7.8%。结论采用B型超声在诊断妇科急腹症中,须详细询问病史,密切结合临床症状及实验室检查,以减少误诊,提高诊断符合率。

Objective To study the clinical diagnosis of B-mode ultrasound to gynecologic acute abdomen. Methods Retrospective analysis of 90 cases of gynecologic acute abdomen in patients with B-mode ultrasound examination results, and with the clinical diagnosis were analyzed. Results Diagnosis of ectopic pregnancy were 51 cases （56.7%） , ovarian endometriosis were 19 cases（21.1% ） ,corpus luteum rupture were 13 cases（ 14.4% ）ovarian cyst torsion were 7 cases（7.8% ）. Compared with surgical pathology., B-mode ultrasound diagnostic were 83 cases, diagnosis rate was 92.2% ,7 cases of misdiagnnsis, misdiagnosis rate were 7.8%. Conclusion Using B-mode ultrasound in the diagnosis of gynecologic acute abdomen should be asked in detail about history,with clinical symptoms and laboratory tests,in order to reduce misdiagnosis and improve diagnostic accuracy rate.