联合应用腹部B超和阴道B超诊断妇产科急腹症的效果分析

Effect of Combined Use of Abdominal B Ultrasound and Vaginal Ultrasound in the Diagnosis of Obstetric and Gynecological Acute Abdomen

目的:观察采用腹部B超和阴道B超联合检查对妇产科急腹症的诊断价值分析。方法:纳入2015年12月~2017年12月在某院就诊的妇产科急腹症患者共80例,将80例患者依据检查方法分为对照组和观察组各40例。对照组采用阴道B超检查,观察组采用腹部B超和阴道B超检查,分析两种方法的诊断效能。结果:联合检查的异位妊娠、黄体破裂和难免流产的人数多于阴道B超检查,差异有统计学意义(P<0.05);观察组的诊断符合率高于对照组(P<0.05),漏诊率及误诊率低于对照组,差异有统计学意义(P<0.05)。经Kappa检验证明两种检查方法的一致性较为良好。结论:联合应用腹部B超和阴道B超诊断妇产科急腹症的不同疾病的检查率较高,具有较高的诊断符合率。

Objective: To evaluate the diagnostic value of abdominal B ultrasound and vaginal ultrasound in the diagnosis of obstetrics and gynecology acute abdomen. Methods: A total of 80 patients with obstetrics and gynecology acute abdomen admitted to a hospital from December 2015 to December 2017 were included. According to the examination methods, 80 patients were divided into control group and observation group with 40 cases each. The control group was examined by vaginal B-ultrasound, and the observation group was examined by abdominal B-ultrasound and vaginal B-ultrasound. The diagnostic effectiveness of the two methods was analyzed. Results: The number of ectopic pregnancy, rupture of the corpus luteum and abortion in the combined examination was more than that in the vaginal B-ultrasound examination, and the difference was statistically significant(P<0.05). The diagnostic coincidence rate in the observation group was higher than that in the control group(P<0.05), while the rate of missed diagnosis and misdiagnosis was lower than that in the control group(P<0.05). Kappa test proved that the consistency of the two methods was good. Conclusion: The combined use of abdominal B-ultrasound and vaginal B-ultrasound for the diagnosis of different diseases in obstetrics and gynecology acute abdomen is high, with has high diagnostic compliance rate.