经腹部彩超与经阴道彩超在妇科急腹症鉴别诊断中的应用效果观察
|
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.
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
[1]吴丽琴.超声诊断妇科急腹症的临床应用及误诊原因分析[J].中国计划生育和妇产科, 2016, 8(10):44-47.
[2]王彩玲.阴道超声在妇科急腹症中的临床应用价值[J].中国现代药物应用, 2016, 10(18):78-79.
[3]张晓伟.彩色多普勒超声在妇科急腹症诊断中的应用价值分析[J].实用临床医药杂志, 2013, 17(9):150-151.
[4]曹丽,周毓青,赵蔚,等.妇科急腹症1036例超声诊断与病理结果对照研究[J].中国实用妇科与产科杂志, 2008, 24(3):198-200.
[5]杨文艳.不同B超检查对妇科急腹症的诊断价值[J].医学综述,2014, 20(15):2827-2828.
[6]刘翠霞.妇科急腹症的超声诊断及误诊原因分析[J].中国医疗设备, 2014, 19(10):150-152.
[7]江桃桃.妇科急腹症的超声诊断与病理结果对照研究[J].中国妇幼保健, 2014, 29(36):6146-6147.
[8]雷硕,张璐.腹部B超与阴道B超诊断妇产科急腹症的诊断效果分析[J].中外医疗, 2016, 35(6):192-194.
[9]毕云丽.腹部B超联合阴道B超对妇产科急腹症的诊断价值分析[J].中国社区医师, 2017, 33(12):89-90.
[10]倪卫花.超声检查在妇科急腹症中病因诊断价值分析[J].浙江临床医学, 2013, 15(9):1420-1421.
[11]孙伯梅.经腹部超声联合阴道超声对妇科急腹症的诊断价值分析[J/CD].实用妇科内分泌杂志(电子版), 2016, 3(2):114-115.
[12]韩会娟.经腹部及阴道超声联合应用于妇产科急腹症中的诊断价值[J].中国临床研究, 2013, 26(9):945-946.
[2]王彩玲.阴道超声在妇科急腹症中的临床应用价值[J].中国现代药物应用, 2016, 10(18):78-79.
[3]张晓伟.彩色多普勒超声在妇科急腹症诊断中的应用价值分析[J].实用临床医药杂志, 2013, 17(9):150-151.
[4]曹丽,周毓青,赵蔚,等.妇科急腹症1036例超声诊断与病理结果对照研究[J].中国实用妇科与产科杂志, 2008, 24(3):198-200.
[5]杨文艳.不同B超检查对妇科急腹症的诊断价值[J].医学综述,2014, 20(15):2827-2828.
[6]刘翠霞.妇科急腹症的超声诊断及误诊原因分析[J].中国医疗设备, 2014, 19(10):150-152.
[7]江桃桃.妇科急腹症的超声诊断与病理结果对照研究[J].中国妇幼保健, 2014, 29(36):6146-6147.
[8]雷硕,张璐.腹部B超与阴道B超诊断妇产科急腹症的诊断效果分析[J].中外医疗, 2016, 35(6):192-194.
[9]毕云丽.腹部B超联合阴道B超对妇产科急腹症的诊断价值分析[J].中国社区医师, 2017, 33(12):89-90.
[10]倪卫花.超声检查在妇科急腹症中病因诊断价值分析[J].浙江临床医学, 2013, 15(9):1420-1421.
[11]孙伯梅.经腹部超声联合阴道超声对妇科急腹症的诊断价值分析[J/CD].实用妇科内分泌杂志(电子版), 2016, 3(2):114-115.
[12]韩会娟.经腹部及阴道超声联合应用于妇产科急腹症中的诊断价值[J].中国临床研究, 2013, 26(9):945-946.