摘要
目的探讨腹部B超(TAS)联合经阴道B超(TVS)在妇产科急腹症的诊断价值。方法回顾性分析腹部B超和经阴道B超检查139例妇产科急腹症患者的临床资料。结果经保守治疗、手术和病理确诊的139例妇产科急腹症患者中,经腹部B超诊断确诊106例占76.26%(106/139),漏诊5例占3.60%(5/139),误诊28例占20.14%(28/139);阴道B超诊断确诊124例占89.21%(124/139),漏诊2例占1.44%(2/139),误诊13例占19.12%(13/139);腹部B超联合经阴道B超诊断确诊130例(93.53%),漏诊2例(1.44%),误诊7例(5.04%)。134例占96.40%(133/139),漏诊1例占0.72%(1/139),误诊4例占2.88%(4/139)。结论腹部B超联合经阴道B超可以提高妇产科急腹症的诊断准确率,具有较高的诊断价值,而且方法简便、准确率高、检查迅速、无痛苦,可作为妇产科急症首选的检查,且B超检查方便、实用、经济,易于在基层医院妇产科临床工作中大力推广应用。
Objective：objective to discuss the abdominal ultrasound（TAS）by transvaginal ultrasound（TVS）in the diagnosis of gynecological acute abdomen. Methods：a retrospective analysis of abdominal ultrasound and transvaginal ultra-sound examination of the clinical data of 139 patients with gynecological acute abdomen. Results：after conservative treat-ment,surgical and pathological diagnosis of 139 patients with gynecological acute abdomen,the abdominal ultrasound in the diagnosis of diagnosed 106 cases accounted for 76. 26%（106 / 139）,misdiagnosis and 5 cases accounted for 3. 60%（5 / 139）,28 cases misdiagnosed accounted for 20. 14%（28 / 139）;Confirmed：124 cases of vaginal ultrasound diagnosis was 89. 21%（124 / 139）,2 cases of misdiagnosis was 1. 44%（2 / 139）,13 cases of misdiagnosis accounted for 19. 12%（13 / 139）;Abdominal ultrasound combined transvaginal ultrasound diagnosis confirmed 130 cases（93. 53% ）,misdiagno-sis and 2 cases（1. 44% ）,7 cases（5. 04% ）,misdiagnosis. Misdiagnosis and 134 cases was 96. 40%（133 / 139）,1 case was 0. 72%（1 / 139）,4 cases were misdiagnosed accounted for 2. 88%（4 / 139）. Conclusion abdominal ultrasound combined transvaginal ultrasound can improve the diagnostic accuracy of gynecological acute abdomen,has high diagnostic value,and the method is simple,high accuracy,quick check,no pain,can be used as emergency preferred check,obstet-rics and gynecology and B ultrasonic examination is convenient,practical,economic,easy to work in the grass - roots hos-pital obstetrics and gynecology clinical promoted application.
出处
《泰山医学院学报》
CAS
2014年第8期732-734,共3页
Journal of Taishan Medical College
关键词
妇产科急腹症
经腹部超声检查
经阴道超声检查
诊断价值
gynecological acute abdomen
after abdominal ultrasound examination
transvaginal ultrasound examina-tion
diagnostic value
