妇产科急诊应用超声检查的诊断价值

摘要

Objective To discuss the application value of ultrasound in the diagnosis of emergency treatment of obstetrics and gynecology. Methods The results of 122 cases with gynecology and obstetrics emergency who were diagnosed by abdomen or (and) by transvaginal ultrasound were retrospectively analyzed and compared with pathological examination.Results The coincidence rate of diagnosis of gynecological emergency by abdominal ultrasonography, the coincidence rate of joint vaginal ultrasound diagnosis of gynecologic acute abdomen were 85.2% (104/122), 94.3% (115/122),by mistake, missed diagnosis was 14.8% (18/122) and 14.8% (7/122),combined ultrasonic diagnosis was signifi cantly better than pure abdominal ultrasound diagnosis,the difference had statistically signifi cant(P<0.05). There were ectopic pregnancy (42.6%), all kinds of abortion (20.5%), corpus luteum rupture (17.2%), acute pelvic infl ammatory disease (14.8%) and ovarian cyst torsion (4.9%) in gynecological emergency. Conclusion Combined the coincidence rate of ultrasonic diagnosis of gynecology and obstetrics emergency is significantly better than that of pure abdominal ultrasound diagnosis, and lower error, the missed diagnosis,it has higher diagnostic value in gynecology and obstetrics emergency applications.%目的：探讨超声检查在妇产科急诊中的诊断价值。方法对122例妇产科急诊患者的经腹部以及腹部与阴道联合超声检查结果行回顾性分析，并与病理检查结果对比。结果经腹超声、经腹联合阴道超声诊断妇科急症的符合率分别为85.2%（104/122）、94.3%（115/122），误、漏诊率分别为14.8%（18/122）、5.7%（7/122），联合超声诊断显着优于单纯经腹超声诊断，差异有统计学意义（P<0.05）。妇科急诊的疾病种类有异位妊娠（42.6%）、各类流产（20.5%）、黄体破裂（17.2%）、急性盆腔炎（14.8%）卵巢囊肿蒂扭转（4.9%）。结论联合超声诊断妇产科急症的符合率显着优于单纯经腹超声诊断，而误、漏诊率更低，在妇产科急诊应用中的诊断价值较高。