超声在急腹症诊断中的应用价值

Value of ultrasound in diagnosis of acute abdominal disease

目的探讨超声在急腹症诊断中的应用价值。方法回顾分析289例经临床及手术证实的急腹症患者的超声诊断。结果急性胆囊炎、胆石症、急性阑尾炎、肾和输尿管结石、胃肠道穿孔、急性胰腺炎、实质脏器挫裂伤、胆道蛔虫、肠梗阻、妇科急腹症的超声诊断准确率分别为98.7%、94.7%、94.2%、87.1%、88.2%、83.4%、100%、100%、92.1%。结论超声在急腹症诊断中具有重要的诊断价值,应作为急腹症的首选检查之一,在检查前应注意了解病情,操作中注意手法,结合病史及临床相关资料慎重诊断,检查后应进行病例随访,提高诊断水平。

Objective To explore the value of ultrasound in the diagnosis of acute abdominal disease.Methods A total of 289 cases were confirmed by clinic and operation.Results In the acute abdominal disease,the accurate rate of acute cholecystitis,cholecystolithisasis,acute appendicitis,renal and ureteral stone,gastrointestinal perforation,acute pancreatitis,the rupture of organs,biliary ascariasis,intestinal obstruction and acute gynecic diseases were 98.7%,94.7%,94.2%,87.1%,88.2%,83.4%,100%,100% and 92.1%.Conclusion For important value in the diagnosis of acute abdomen,ultrasound should be regarded as the first choices.Further more we should pay much attention to the medical history,clinical date,conditions of instrument and scan technique before our ultrasonic diagnosis.Lastly,we should make a cases follow-up visit and improve the diagnosis level.