阴道彩超检查在诊断妇科急腹症方面的临床价值分析

Clinical value analysis of transvaginal color Doppler ultrasonography in the diagnosis of gynecologic acute abdomen

目的分析阴道彩超检查在诊断妇科急腹症方面的诊断效果,探究阴道彩超检查的临床应用意义以供参考。方法 180例妇科急腹症患者为对象进行研究,所有患者术前均进行阴道彩超检查和腹部彩超检查,比较诊断结果。结果腹部彩超检查有效诊断123例,诊断准确率为68.33%;阴道彩超检查有效诊断141例,诊断准确率78.33%;两种方法联合检查有效诊断168例,诊断准确率为93.33%。诊断准确率:两种方法联合检查明显高于阴道彩超检查及腹部彩超检查,阴道彩超检查高于腹部彩超检查,差异均具有统计学意义(P<0.05);漏诊率及误诊率:两种方法联合检查低于阴道彩超检查及腹部彩超检查,阴道彩超检查低于腹部彩超检查,差异均具有统计学意义(P<0.05)。两种方法联合检查宫外孕、黄体破裂、急性盆腔炎及卵巢囊肿蒂扭转诊断准确率均高于腹部彩超检查,差异具有统计学意义(P<0.05)。两种方法联合检查宫外孕及急性盆腔炎诊断准确率高于阴道彩超检查,差异具有统计学意义(P<0.05);黄体破裂及卵巢囊肿蒂扭转诊断准确率与阴道彩超检查比较差异无统计学意义(P>0.05)。结论对妇科急腹症的诊断,阴道彩超诊断准确率高于腹部彩超,具有方便快捷的优点,阴道彩超和腹部彩超的联合应用对诊断具有重要意义。

Objective To analyze the effect of transvaginal color Doppler ultrasonography in the diagnosis of gynecologic acute abdomen, so as to investigate the clinical application significance of color Doppler ultrasonography for reference. Methods A total of 180 acute abdomen patients were studied. All patients underwent transvaginal color Doppler ultrasonography and abdominal color Doppler ultrasonography before operation, and the diagnosis results were compared. Results Abdominal color Doppler ultrasonography had 123 accuracy cases, with diagnostic accuracy as 68.33%, and transvaginal color Doppler ultrasound had 141 accuracy cases, with diagnostic accuracy as 78.33%. Combined diagnosis of two methods had 168 accuracy cases, with diagnostic accuracy rate as 93.33%. Diagnostic accuracy： combined diagnosis of two methods was obviously higher than transvaginal color Doppler ultrasonography and abdominal color Doppler ultrasonography, and transvaginal color Doppler ultrasonography was higher than abdominal color Doppler ultrasonography. Their difference was statistically significant（P〈0.05）. Missed diagnosis and misdiagnosis rate： combined diagnosis of two methods was obviously lower than transvaginal color Doppler ultrasonography and abdominal color Doppler ultrasonography, and transvaginal color Doppler ultrasonography was lower than abdominal color Doppler ultrasonography. Their difference was statistically significant（P〈0.05）. Combined diagnosis of two methods had higher diagnostic accuracy rate of ectopic pregnancy, rupture of corpus luteum, acute pelvic inflammatory disease and torsion of ovarian cyst than abdominal color Doppler ultrasonography, and the difference was statistically significant（P〈0.05）. Combined diagnosis of two methods had higher diagnostic accuracy rate of ectopic pregnancy and acute pelvic inflammatory disease than transvaginal color Doppler ultrasonography, and their difference was statistically significant（P〈0.05）, and had no statistically significant difference in diagnostic accuracy rate of rupture of corpus luteum and torsion of ovarian cyst, comparing with transvaginal color Doppler ultrasonography（P〉0.05）. Conclusion For the diagnosis of gynecologic acute abdomen, transvaginal color Doppler ultrasonography has higher diagnostic accuracy than abdominal color Doppler ultrasonography, and it has advantages of convenience and fast. The combined application of the transvaginal color Doppler ultrasound and the abdominal color Doppler ultrasound is of great significance to the diagnosis.