摘要
目的评价经腹部彩超与经阴道彩超对妇科急腹症鉴别诊断的效果。方法选取2012年12月至2016年12月于我院妇科检查的急腹症患者120例,均行经腹部彩超与经阴道彩超诊断,并以手术病理为标准,比较两种方法的诊断结果。结果经阴道彩超对卵巢囊肿蒂扭转、异位妊娠的检出率分别为95.65%、 95.59%,高于经腹部彩超的69.57%、 77.94%(P <0.05);经阴道彩超对急性盆腔炎的检出率为72.41%,低于经腹部彩超的96.55%(P <0.05)。结论对于不同类型的妇科急腹症,经腹部彩超与经阴道彩超各具优势,建议在妇科急腹症诊断时将两种方法联合应用,以提高疾病诊断率。
Objective To evaluate the effects of transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound in the differential diagnosis of gynecological acute abdomen. Methods 120 cases of patients with acute abdomen undergoing gynecological examination admitted to our hospital from December 2012 to December 2016 were selected and given transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound. Taking the surgical pathology as the standard, the diagnostic results of two methods were compared. Results The detection rates of transvaginal color Doppler ultrasound on ovarian cysts torsion and ectopic pregnancy were respectively 95.65% and 95.59%, higher than 69.57% and 77.94% of transabdominal color Doppler ultrasound(P <0.05). The detection rate of transvaginal color Doppler ultrasound on acute pelvic inflammatory disease was 72.41%, lower than 96.55% of transabdominal color Doppler ultrasound(P <0.05). Conclusions For different types of gynecological acute abdomen, transabdominal color Doppler ultrasound and transvaginal color Doppler ultrasound have their own advantages. Therefore, it is suggested to combine the two methods in the diagnosis of gynecological acute abdomen in order to improve the diagnostic rate of disease.
引文
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