卵巢黄体破裂采用腹部超声联合阴道超声进行诊断的临床价值分析

Analysis on clinical value of transabdominal ultrasonography and transvaginal ultrasonography in diagnosis of ovarian corpus luteum rupture

目的：探讨黄体破裂患者经腹部及阴道实施联合超声检查的临床意义。方法：回顾分析2010年6月-2014年5月来该科检查并住院治疗的128例考虑为黄体破裂患者临床资料,予以经腹部及阴道实施联合超声检查,确诊主要以手术治疗及保守治疗的对应结果作为判定标准,同时将单项及联合检查予以准确率评估。将经病理证实的88例黄体破裂患者作为研究组,将其余40例妇科急腹症患者作为对照组,对两组超声血流改变情况进行对比分析。结果：实施联合超声检查,临床诊断的准确率可达到95.45%,同最终确诊结果相较不具统计学差异（P〉0.05）,并且诊断准确率较单纯经腹部及阴道实施超声检查有统计学差异（P〈0.01）。研究组超声血流改变情况较对照组有统计学差异（P〈0.01）。结论：黄体破裂患者经腹部及阴道实施联合超声检查,临床诊断的准确率较单独经腹以及经阴道实施超声检查具有显著意义。融合两种超声优势,能够使诊断准确率有极大提高,并且确诊结果也不具有差异性,应结合患者具体情况,合理推广。

Objective： To explore the clinical significance of transabdominal uhrasonography combined with transvaginal ultra- sonography for patients with ovarian corpus luteum rupture. Methods： The clinical data of 128 patients suspected of ovarian corpus luteum rupture and treated in the hospital from June 2010 to May 2014 was analyzed retrospectively, transabdominal ultrasonography combined with transvaginal uhrasonography was performed, the results of surgery and conservative treatment were taken as definitely diagnostic criteria, the accurate rates of single examination and joint examination were evaluated. Among 128 patients, 88 patients diagnosed as ovarian corpus luteum rupture definitely by pathological examination were selected as study objects, the other 40 patients with gynecological acute abdominal diseases were selected as control group; the changes of blood flow observed by ultrasonography in the two groups were compared and analyzed. Results： The accurate rate of joint examination was 95.45%, compared with the finally definite diagnosis, there was no statistically significant difference （ P 〉 0.05 ） , there was statistically significant difference in the accurate rate between joint examination and single exam- ination （ P 〈 0. 01 ） . There was statistically significant difference in the change of blood flow between study group and control group （ P 〈 0. 01 ） . Conclusion： The accurate rate of joint examination is significantly higher than that of single examination. Joint examination ean significantly improve the accurate rate of diagnosis after fusion of advantages of the two methods, and there is no statistically significant difference in the definitely diagnostic results, ultrasound should be selected according to the specific circumstances of patients.