彩色多普勒超声诊断妇科常见急腹症的价值评价

Value of Color Doppler Ultrasound Diagnosis of Common Gynecological Acute Abdomen

目的进一步分析彩色多普勒超声诊断在妇科常见急腹症诊断中的应用价值。方法随机选取160例在我院接受治疗且经彩色多普勒超声检查的妇科急腹症病患,分析所有患者彩色多普勒检查的图像特点,对比该超声诊断结果与常规病理诊断的异同,评价其在妇科急腹症中的优缺点。结果彩色多普勒超声诊断确诊共154例,误诊6例。,分别为异位妊娠、卵巢囊肿蒂扭转、卵巢囊肿破裂、盆腔炎症各有2例(98.37%)、1例(92.86%)、1例(92.31%)、2例(80%)。较之病理确诊,其总准确率高达96.25%。结论在妇科常见急腹症的诊断治疗中,尽管彩色多普勒超声诊断率高,方便快捷,但是在某急腹症中多普勒超声图像极为相似,易误诊;这时要根据临床实际情况及病理检查等手段进行诊断。

Objective To analyze the diagnostic value of color Doppler ultrasound in the diagnosis of acute abdomen common gynecology. Methods 160 cases were randomly selected for treatment in our hospital and by color Doppler ultrasonography in patients with gynecological acute abdomen,analyzing image color Doppler characteristics of al patients,and compare the results with conventional ultrasound diagnosis of pathological diagnosis of the similarities and dif erences to evaluate the strengths and weaknesses in gynecological acute abdomen. Results Color Doppler ultrasound diagnosis confirmed a total of 154 cases,6 cases of misdiagnosis. ,Respectively,ectopic pregnancy,ovarian cyst torsion,ovarian cyst rupture,pelvic inflammatory disease have two cases（98.37%）,1（92.86%）, 1 （92.31%）,2 cases （80%）. Compared with the pathological diagnosis,the total accuracy rate of 96.25%. Conclusion Diagnosis and treatment of common gynecological acute abdomen,although color Doppler ultrasound diagnosis rate,convenient,but at some acute abdomen Doppler ultrasound images are very similar,often misdiagnosed; then according to clinical practice and pathological examination and other means of diagnosis.