妇科急腹症的超声诊断价值

The ultrasonic diagnosis of gynecological acute abdomen

目的 :探讨超声在妇科急腹症诊断中的应用价值。方法 :2 15例妇科急腹症超声诊断结果与临床诊断 (包括手术及病理结果 )对照。结果 :本组病例 2 15例诊断符合 198例 ,诊断符合率为92 % ,误漏诊 17例 ,误诊率约 8%。结论 :超声对妇科急腹症有较高的诊断价值。检查者在诊断中必须详细询问病史 ,密切结合临床症状及实验室检查 ,对不典型病例 ,应仔细寻找包块病灶区 ,根据声像图特征做好鉴别诊断 ,以提高超声诊断的符合率。

Objective :To study the clinical value of ultrasonography in diagnosing gynecological acute abdomen.Methods:The results of ultrasonic diagnosis and clinical diagnosis (including the results of operation and patheology) were compared in 215 patients with gynecological acute abdomen.Results:Among 215 cases,the cases corresponded to the clinical diagnosis were 198,the corresponding diagnosis rate was 92%,all the cases of the misdiagnosis and miss-diagnosis were 17,the rate of misdiagnosis and miss-diagnosis was 8%.Conclusion:Ultreasonic diagnosis for gynecological acute abdomen has a higher diagnosis value. The examiner must inquire the disease history in detail,and carefully seek the lump or focus of infection with close combining the clinical symptom and results of experiment,who can do well in distinguish-diagnosis according to the feature of ultrasonic image, and enhance the rate of clinical corresponding diagnosis.