超声对腹腔占位性病变伴急腹症的诊断分析

Ultrasonography in the diagnosis of abdominal space occupying lesions accompanied with acute abdomen

目的探讨超声对腹腔占位性病变伴急腹症的诊断价值，旨在提高急诊超声诊断水平。方法回顾性分析64例伴发急性腹痛的腹腔占位患者的临床资料和超声检查结果，总结其二维及彩色多普勒超声特点并与病理、临床结果相对照。结果全部病例根据占位的发生部位和分布可将病变分成三种类型：局灶型、弥漫型及血管腔内型。超声诊断准确率90．63％、敏感性88．37％及特异性95．24％。超声漏诊肿瘤5例，误诊1例。结论超声可以较敏感地、快捷地发现急腹症的腹腔占位性病变，具有重要的诊断作用，是大多数临床急腹症的首选检查方法。

Objective To explore the diagnostic value of uhrasonography in abdominal space occupying lesions accompanied with acute abdomen. Methods 2D and color Doppler flow imaging （ CDFI ） were performed in 64 patients with abdominal space occupying lesions accompanied with acute abdominal pain. The clinical data and uhrasonographic features of these cases were retrospectively analyzed and compared with the pathology and clinical diagnosis. Results All the lesions were divided into three types according to the position and distribution of lesions. The diagnostic accuracy rate was 90. 63% , the sensitivity was 88.37% , and the specificity was 95.24%. Five cases were missed diagnosis and one case was misdiagnosis. Conclusion 2D and CDFI examinations were sensitive means to find abdominal space occupying lesions accompanied with acute abdomen. Ultrasound plays an important role in diagnosing abdominal space occupying lesions accompanied with acute abdomen, and provides important evidence for the clinical diagnosis of diseases and it is the first choice in most acute abdomen