妊娠合并急腹症的超声诊断-附686例临床病例分析

Ultrasound in Cyesis with Acute Abdomen

目的:评价超声在诊断妊娠合并急腹症中的临床应用价值。方法:回顾分析686例妊娠合并急腹症患者的临床资料,总结妊娠合并急腹症超声图像特征。结果:超声诊断符合率为:异位妊娠87.2%(184/211),急性阑尾炎84.2%(32/39),卵巢囊肿蒂扭转90.0%(27/30),急性胰腺炎66.7%(6/9),不全流产及难免流产、子宫肌瘤扭转、子宫肌瘤红色变性、胎盘早剥、泌尿系结石、急性胆囊炎和胆结石、急性胃肠炎、急性肠梗阻的诊断率为100%(43/43)。结论:超声可以作为妊娠合并急腹症首选的检查手段,为临床早期诊断及治疗提供可靠依据。

Objective：To evaluate the clinical application value of ultrasound in cyesis with acute abdomen.Methods：We summarized the character of sonogram in cyesis with acute abdomen,the clinical data were retrospectively analyzed in 686 cases of cyesis with acute abdomen.Results：The overall diagnosis accordance rates reached 100%（43/43） for incomplete abortion and inevitable abortion,hysteromyoma intortion,hysteromyoma red degeneration,placental abruption,urinary system calculus,acute cholecystitis and gallstone,acute gastroenteritis,acute ileus while those of ectopic pregnancy;acute appendicitis,ovarian cyst and acute pancreatitis pediculotorsion reached 87.2%（184/211）,84.2%（16/19）;90.0%（9/10） and 66.7%（2/3）,respectively.Conclusion：Ultrasound could be adopted as the first choice of all therapeutic tools in cyesis with acute abdomen as it can provide the reliability evidence of early diagnosis for clinic.