腹部超声联合阴道超声对妇产科急腹症的临床诊断价值

The exploration of clinical value of abdominal ultrasound combined with vaginal ultrasound in the diagnosis of acute abdomen in obstetrics and gynecology

目的探讨在妇产科急腹症的临床诊断中,采用腹部超声联合阴道超声诊断方案的临床价值。方法选取57名急腹症患者为研究对象,所有患者均接受腹部超声联合阴道超声检查,以临床诊断为金标准,探讨联合超声检查的诊断价值以及各类急腹症的图像表现。结果以临床诊断为金标准,腹部超声诊断41例,诊断准确性为71.93%;阴道超声诊断47例,诊断准确性为82.46%;二者联合诊断54例,诊断准确率94.74%。阴道超声诊断准确率高于腹部超声,差异无统计学意义。联合诊断的诊断准确率高于单纯腹部超声和阴道超声,差异均有统计学意义(均P<0.05)。联合诊断的特异度为75.00%(3/4),灵敏度为96.23%(51/53)。联合诊断对宫内孕流产、卵巢囊肿破裂和胎盘早剥的诊断准确率均为100%。结论腹部超声联合阴道超声可提高妇产科急腹症患者的诊断准确率。

Objective To explore the clinical value of abdominal ultrasound combined with vaginal ultrasound in the clinical diagnosis of acute abdomen in obstetrics and gynecology.Methods The research subjects were 57 patients with acute abdomen who came to our hospital with complete confirmed case data during this period.All patients underwent abdominal ultrasonography combined with vaginal ultrasonography,clinical diagnosis was taken as the gold standard to explore the diagnostic value of combined ultrasonography and the image manifestations of various acute abdominal diseases.Results With clinical diagnosis as the gold standard,41 cases were diagnosed with abdominal ultrasound,with a diagnostic accuracy of 71.93%;47 cases were diagnosed by vaginal ultrasound,with a diagnostic accuracy of 82.46%;54 cases were diagnosed jointly with the two,with a diagnostic accuracy of 94.74%.The diagnostic accuracy of vaginal ultrasound was higher than that of abdominal ultrasound,but the difference was not statistically significant.The diagnostic accuracy of combined diagnosis was higher than that of abdominal ultrasound and vaginal ultrasound alone,and the difference was statistically significant(P<0.05).The specificity of combined diagnosis was 75.00%(3/4),and the sensitivity was 96.23%(51/53).The diagnostic accuracy of combined diagnosis for intrauterine pregnancy miscarriage,ovarian cyst rupture,and placental abruption was 100%.Conclusion Abdominal ultrasound combined with vaginal ultrasound can improve the diagnostic accuracy of patients with acute abdomen in obstetrics and gynecology.