超声在妇科检查中的应用价值

The Application Value of Ultrasound in Gynecological Examination

目的探讨超声在妇科检查中的应用价值。方法收集2011年5月至2012年5月在柳钢医院进行妇科检查的妇女共1000例,其中20～40岁355例、41～60岁327例、>61岁318例,所有妇女均进行超声检查,检出病例均经手术病理、刮片或宫腔镜等确诊,分析不同年龄段妇女群体的妇科病检出情况。结果 1000例妇女中,宫颈疾病的发病率最高,达63.8%(638/1000);宫颈相关疾病的妇女群体中,以宫颈囊肿较为多见,发病率达38.2%(244/638);共检出妇科急腹症66例;不同年龄段宫颈疾病、阴道炎、子宫肌瘤和子宫腺肌症发病率比较差异有统计学意义(P<0.05);不同年龄段宫颈息肉和急性宫颈炎发病率比较差异有统计学意义(P<0.05)。结论超声检查具有操作简单、经济实用、迅速准确的特点,在一定程度上缩短了诊疗时间,也降低了漏诊率和误诊率,对促进医疗急救具有重要意义。

Objective To explore the application value of ultrasound in gynecological examination.Methods One thousand women who received gynecological examination in Liugang hospital from May 2011 to May 2012 were selected.All women were examined by ultrasonography,positive cases were confirmed by operation and pathology,scraping or hysteroscopy diagnosis,gynecological disease detection situations of different age groups were analyzed.Results Among the 1000 women,the incidence of cervical disease was the highest,up to 63.8%（638 /1000）;among related cervical disease,the incidence of cervical cyst was the highest,up to 38.2%（244 /638）.Gynecological acute abdomen disease was detected in 66 cases;cervical disease,vaginitis,uterine fibroids and adenomyosis incidence of different age groups were statistically significantly different（P 0.05）;incidence of cervical polyps and acute cervicitis of different age groups were statistically significantly different（P 0.05）.Conclusion Ultrasonography has the characteristics of simple operation,economical and practical,quick and accurate,which can reduce the diagnosis and treatment time to a certain extent,and reduce the rate of missed diagnosis and misdiagnosis,thus has great significance in promoting medical emergency work.