腹盆腔CT检查对常见妇科急腹症的诊断意义

Diagnostic Significance of Abdominal Pelvic CT Examination for Common Gynecologic Acute Abdomen

目的探讨腹盆腔CT检查对常见妇科急腹症的诊断。方法研究对象为方便选取47例妇科急腹症患者,研究时间为2017年4月-2018年9月,分别给予CT技术及彩超检查,且对检查后诊断符合率进行观察及评估。结果CT诊断符合率为95.74%,其中卵巢黄体囊肿破裂为3例、输卵管脓肿为13例、卵巢囊肿蒂扭转为10例、巧克力囊肿破裂为19例;而超声诊断符合率为51.06%,其中卵巢黄体囊肿破裂为1例、输卵管脓肿为8例、卵巢囊肿蒂扭转为5例、巧克力囊肿破裂为10例;两组对比数据差异有统计学意义(P<0.05)。结论腹盆腔CT检查应用于常见妇科急腹症中具有较高的临床价值,可为疾病诊断提供准确依据。

Objective To investigate the diagnosis of common gynecologic acute abdomen by abdominal pelvic CT examination. Methods 47 patients with gynecologic acute abdomen were convenient enrolled. The study period was from April 2017 to September 2018. CT and color Doppler ultrasound examinations were performed, and the diagnostic coincidence rate was observed and evaluated. Results The coincidence rate of CT diagnosis was 95.74%, including ovarian corpus luteum cyst rupture in 3 cases, fallopian tube abscess in 13 cases, ovarian cyst pedicle torsion in 10 cases, and chocolate cyst rupture in 19 cases. The diagnostic rate of ultrasound diagnosis was 51.06%, of which ovary The corpus luteum cyst was ruptured in 1 case, the fallopian tube abscess was 8 cases, the ovarian cyst pedicle was reversed in 5 cases, and the chocolate cyst was ruptured in 10 cases. The difference between the two groups was statistically significant(P<0.05). Conclusion Abdominal pelvic CT examination has a high clinical value in common gynecologic acute abdomen, which can provide accurate basis for disease diagnosis.