彩色多普勒超声对妇产科急症的诊断价值探讨

Discussion of the Diagnosis Value of Colored Doppler for Emergent Cases in Department of Gynecology and Obstetrics

目的探讨彩色多普勒超声检查对妇产科急诊的诊断与鉴别诊断价值及对临床治疗的指导意见。方法收集手术、病理证实的168例各类妇产科急诊的声像图表现,进行分析总结,并对非手术治疗的46例进行随访观察,了解其治疗效果。结果经手术、病理证实的168例各类妇科急诊中:异位妊娠109例,黄体破裂11例,卵巢囊肿及多囊卵巢扭转9例,不全流产及稽留流产29例,滋养细胞肿瘤4例,输卵管积水6例。非手术治疗的46个病例中盆腔炎症19例,胎儿窘迫5例,宫外孕22例,妊娠合并输尿管结石1例,超声随访观察图像多有变化。结论超声对妇产科急诊能够提供诊断依据,对保守治疗部分患者超声引导穿刺治疗及随访观察也具有一定临床价值。

Objective To discuss the diagnosis value of Colored Doppler for emergent cases in department of gynecology, and obstetrics. Methods The sonograms of 168 eases with various emergencies proved by operation and pathological examination in department of gynecology and obstetrics were collected and an analysis was made ; follow-up was made to 48 cases receiving no surgical treatment so as to study the curative effect. Results Out of the 168 emergent eases proved by operation and pathological examination ,there were 109 eases with ectopie pregnancy, 11 eases with corpus luteum breaking,9 cases with the torsion of ovary cysts and polycystic ovary,29 cases with incomplete abortion and missed abortion,4 cases with trophoblastie tumor and 6 cases with hydrosalpinx. Out of the 46 eases receiving no surgical treatment,there were 19 eases with pelvic inflammation,5 eases with fetal distress ,22 eases with extrauterine pregnancy, 1 ease with pregnancy combined with calculus of ureter. The follow-up showed changes in sonograms. Conclusions Ultrasound can provide basis for diagnosis in the emergent eases in department of gynecology and obstetrics;it is of certain clinical value in punctuation guided by ultrasound for those eases receiving expectant treatment and in follow-up.