摘要
目的探讨彩色多普勒超声对妇产科急腹症的诊断价值。方法选取2017年8月至2019年7月在黄河水利委员会黄河中心医院治疗的114例妇产科急腹症患者。其中黄体破裂18例,异位妊娠65例,卵巢囊肿蒂扭转15例,急性盆腔炎16例。所有患者均接受彩色多普勒超声检查,并与手术及病理确诊结果进行对比。结果所有患者经彩色多普勒超声诊断,异位妊娠(95.38%,62/65)、黄体破裂(88.89%,16/18)、急性盆腔炎(81.25%,13/16)等急腹症诊断的符合率均较高,与病理诊断比较差异未见统计学意义(P>0.05),总符合率(89.47%,102/114)与病理诊断比较差异有统计学意义(P<0.05)。结论在妇产科急腹症患者诊断中应用彩色多普勒超声诊断技术诊断符合率较高,值得临床上推广应用。
Objective To investigate the value of color Doppler ultrasound in the diagnosis of acute abdomen in obstetrics and Gynecology.Methods From August 2017 to July 2019,114 patients with acute abdomen in gynecology and obstetrics were selected from the Yellow River Central Hospital of the Yellow River Water Conservancy Commission.There were 18 cases of corpus luteum rupture,65 cases of ectopic pregnancy,15 cases of torsion of ovarian cyst pedicle and 16 cases of acute pelvic inflammation.All patients were examined by color Doppler ultrasound and compared with the results of operation and pathological diagnosis.Result All the patients were diagnosed by color Doppler ultrasound.The coincidence rate of ectopic pregnancy(95.38%,62/65),rupture of corpus luteum(88.89%,16/18),acute pelvic inflammation(81.25%,13/16)and other acute abdominal diseases was high,there was no significant difference between the diagnosis and pathological diagnosis(P>0.05).The total coincidence rate(89.47%,102/114)were significantly different from the pathological diagnosis(P<0.05).Conclusions In the diagnosis of acute abdomen in obstetrics and Gynecology,the diagnostic accuracy of color Doppler ultrasound is high.It is worthy of clinical application.
作者
马雪生
霍红梅
Ma Xuesheng;Huo Hongmei(Department of Function,Yellow River Central Hospital,Yellow River Conservancy Commission,Zhengzhou 450003,China)
出处
《临床医学》
CAS
2020年第2期40-42,共3页
Clinical Medicine
关键词
急腹症
妇产科
彩色多普勒超声
Acute abdomen
Obstetrics and gynecology
Color ultrasound
