妊娠合并急腹症的超声诊断-附686例临床病例分析

摘要

Objective: To evaluate the clinical application value of ultrasound in cyesis with acute abdomen.Methods: We summarized the character of sonogram in cyesis with acute abdomen, the clinical data were retrospectively analyzed in 686 cases of cyesis with acute abdomen.Results: The overall diagnosis accordance rates reached 100％(43/43) for incomplete abortion and inevitable abortion,hysteromyoma intortion, hysteromyoma red degeneration, placental abruption, urinary system calculus, acute cholecystitis and gallstone,acute gastroenteritis, acute ileus while those of ectopic pregnancy;acute appendicitis,ovarian cyst and acute pancreatitis pediculotorsion reached 87.2％(184/211), 84.2％(16/19); 90.0％(9/10) and 66.7％(2/3), respectively.Conclusion: Ultrasound could be adopted as the first choice of all therapeutic tools in cyesis with acute abdomen as it can provide the reliability evidence of early diagnosis for clinic.%目的:评价超声在诊断妊娠合并急腹症中的临床应用价值.方法:回顾分析686例妊娠合并急腹症患者的临床资料,总结妊娠合并急腹症超声图像特征.结果:超声诊断符合率为:异住妊娠87.2%(184/211),急性阑尾炎84.2%(32/39),卵巢囊肿蒂扭转90.0%(27/30),急性胰腺炎66.7%(6/9),不全流产及难免流产、子宫肌瘤扭转、子宫肌瘤红色变性、胎盘早剥、泌尿系结石、急性胆囊炎和胆结石、急性胃肠炎、急性肠梗阻的诊断率为100%(43/43).结论:超声可以作为妊娠合并急腹症首选的检查手段,为临床早期诊断及治疗提供可靠依据.