分析彩超诊断急腹症的临床效果

Analyze the Clinical Effect of Color Doppler Ultrasound in the Diagnosis of Acute AbdomenV

目的:研究分析彩超诊断急腹症的临床效果。方法:选取120例本院于2017年8月~2019年7月收治的急腹症患者,对以上所有患者行彩超诊断,并在治疗后计算出患者的检出率以及治疗成功率。结果:经彩超诊断后发现,120例患者中有37例患者为急性肠胃炎,33例急性阑尾炎,36例急性盆腔炎,14例急性附件炎。实际确诊39例急性肠胃炎,32例急性阑尾炎,34例急性盆腔炎,15例急性附件炎。检出率分别为94.49%、96.97%、94.44%、93.33%,总检出率为95.00%。所有患者中有112例成功治疗,治疗成功率为93.33%,妇产科急腹症患者经阴道彩超检查确诊率为89.21%,误诊率为19.12%,漏诊率为1.44%,经腹部彩超检查确诊率为76.26%,误诊率为20.14%,漏诊率为3.6%,经腹部彩超与阴道彩超联合检查确诊率为96.4%,误诊率为2.88%,漏诊率为0.72%。结论:对急腹症患者采用彩超诊断检出率较高,并有利于后期的治疗,可作为急腹症检查的首选。

Objective:To study and analyze the clinical effect of color Doppler ultrasound in the diagnosis of acute abdomen.Method:Select 120 patients with acute abdomen admitted to our hospital from August 2017 to July 2019,perform color Doppler ultrasound diagnosis on all the above patients,and calculate the patient’s detection rate and treatment success rate after treatment.Results:After diagnosis by color Doppler ultrasound,37 of 120 patients had acute gastroenteritis,33 had acute appendicitis,36 had acute pelvic inflammation,and 14 had acute appendicitis.39 cases of acute gastroenteritis,32 cases of acute appendicitis,34 cases of acute pelvic inflammatory disease,and 15 cases of acute appendicitis were actually diagnosed.The detection rates were 94.49%,96.97%,94.44%,93.33%,and the total detection rate was 95.00%.Among all patients,112 cases were successfully treated,with a treatment success rate of 93.33%.The diagnosis rate of vaginal color Doppler ultrasound examination for patients with acute abdomen in obstetrics and gynecology was 89.21%,the misdiagnosis rate was 19.12%,and the missed diagnosis rate was 1.44%.The diagnosis was confirmed by abdominal color Doppler ultrasound The rate was 76.26%,the misdiagnosis rate was 20.14%,the missed diagnosis rate was 3.6%,the combined diagnosis rate of abdominal color Doppler ultrasound and vaginal color Doppler ultrasound was 96.4%,the misdiagnosis rate was 2.88%,and the missed diagnosis rate was 0.72%.Conclusion:The detection rate of color Doppler ultrasound in patients with acute abdomen is higher,and it is conducive to later treatment,and can be used as the first choice for acute abdomen examination.