经阴道与经腹部超声在妇产科急腹症中的临床价值

Clinical Value of Transabdominal Ultrasound and Transvaginal Ultrasound in Diagnosis of Acute Abdomen in the Department of Gynecology and Obstetrics

目的为了提高妇产科急腹症的诊断准确率,探讨究经阴道和经腹超声检查在临床的应用价值和意义。方法根据随机原则要求从2015年12月—2016年2月来该院妇产科就诊的急腹症患者中选取157例作为研究对象,入组患者均同时接受经阴道和经腹超声检查,以手术病理结果作为此次研究的诊断金标准,比较经腹部超声、经阴道超声及两种超声联合应用的诊断相符率。结果研究结果显示,单纯通过经腹部超声检查诊断相符率为75.19%(118/157),单纯通过经阴道部超声检查诊断相符率为80.89%(127/157),二者联合检查诊断相符率为95.54%(150/157),较单纯经腹部超声与经阴道超声检查诊断相符率相比二者联合检查准确率更高,且比较差异有统计学意义(P<0.05)。结论妇产科急腹症诊断时采取经腹部超声及经阴道超声联合检查诊断价值更高,具有操作简单、迅速、痛苦小的优点,能够为临床诊疗提供有利的依据。

Objective To study the clinical application value and significance of transabdominal ultrasound and transvaginal ultrasound in diagnosis of acute abdomen in the department of gynecology and obstetrics in order to improve the diagnosis accurate rate of the disease. Methods 157 cases of patients with acute abdomen in the department of gynecology and obstetrics in our hospital from December 2015 to February 2016 were randomly selected and all patients adopted the transabdominal ultrasound and transvaginal ultrasound examination, and the diagnosis coincidence rate was compared by taking the operative pathological results as the golden standards. Results The research results showed that the diagnosis coincidence rate of single transabdominal ultrasound examination and single transvaginal ultrasound examination and combined examination was respectively 75.19%(118/157), 80.89%(127/157) and 95.54%(150/157), and the accuracy rate of the combined diagnosis was higher than that of single diagnosis, and the difference was statistically significant(P<0.05). Conclusion The value of transabdominal ultrasound and transvaginal ultrasound in diagnosis of acute abdomen in the department of gynecology and obstetrics is higher with the advantages of simple and rapid operation and less pains, which can provide favorable basis for the clinical diagnosis and treatment.