彩色多普勒超声对妇产科急症的诊断价值探讨

目的 探讨彩色多普勒超声检查对妇产科急诊的诊断与鉴别诊断价值及对临床治疗的指导意见。方法 收集手术、病理证实的168例各类妇产科急诊的声像图表现，进行分析总结，并对非手术治疗的46例进行随访观察，了解其治疗效果。结果 经手术、病理证实的168例各类妇科急诊中：异位妊娠109例，黄体破裂11例，卵巢囊肿及多囊卵巢扭转9例，不全流产及稽留流产29例，滋养细胞肿瘤4例，输卵管积水6例。非手术治疗的46个病例中盆腔炎症19例，胎儿窘迫5例，宫外孕22例，妊娠合并输尿管结石1例，超声随访观察图像多有变化。结论 超声对妇产科急诊能够提供诊断依据，对保守治疗部分患者超声引导穿刺治疗及随访观察也具有一定临床价值。     

彩色多普勒超声诊断在妇产科急腹症中的临床应用

目的 探讨彩色多普勒超声应用于妇产科急腹症诊断中的价值.方法 收集2018年3月-2021年3月经手术病理检查确诊的60例妇产科急腹症患者的临床资料,所有患者入院时均接受彩色多普勒超声检查,获取诊断结果 ,以手术病理结果 为金标准,分析彩色多普勒超声诊断妇产科急腹症的价值.结果 手术病理检查结果 显示,60例妇产科急腹...     

妇产科急腹症的超声诊断分析

目的：探讨超声检查对妇产科急腹症的诊断价值。方法：总结60例妇产科急腹症患者的超声诊断情况,与临床的手术病例确诊结果进行比较分析。结果：60例急腹症患者,超声诊断正确58例,总正确率96.6%,其中宫外孕诊断正确20例,正确率95.2%,有一例误诊为黄体破裂,急性盆腔炎诊断正确11例,正确率为91.7%,未检出1例的超声影像显示正常,难免流产诊断正确7例,正确率87.7%,一例误诊为葡萄胎,卵巢囊肿蒂扭转9例,正确率100%,黄体囊肿破裂正确9例,正确率90%,一例误诊为宫外孕。结论：超声具有无痛、无创、安全、便利等优点,可通过直接观察子宫大小形态,内部回声及宫旁有无异常回声,盆腔有无积液等。对引起急性腹痛的原因、病变部位、病变性质提出分析和诊断是妇产科急腹症的有效检查方法。     

探讨彩色超声在妇产科急腹症中的诊断价值

目的：探讨彩色超声检查对妇产科急腹症的诊断价值。方法对178例妇产科急腹症患者行腹部及阴道彩色超声检查,以临床诊断及病理检查结果作为诊断的金标准,将超声诊断结果与临床诊断结果进行对照。结果178例妇产科急腹症患者经彩超诊断168例,彩超与临床、病理检查结果诊断符合率为94.38％。其中异位妊娠发生率最高占81例,其次是卵巢黄体破裂出血29例、卵巢肿瘤蒂扭转28例。结论彩色超声检查诊断妇产科急腹症准确率高,且具有无创、简便、快速、可反复操作的特点,可作为妇产科急腹症的首选检查方法。     

超声对妇产科急腹症的诊断及临床价值

我院 1999年 12月— 2 0 0 1年 12月经超声诊断妇产科急腹症 87例 ,现回顾分析如下。1　资料与方法1 1　一般资料　本组 87例 ,年龄 17～ 4 9岁 ,平均 2 6岁。均表现不同程度的急性下腹痛 ,部分伴恶心、呕吐、发热 ,其中 2例出现休克。病程 30ｍｉｎ～ 36ｈ。全部经手术治疗证实。1 2　仪器与方法　仪器采用美国百胜Ａｕ 5型彩色多谱勒超声诊断仪。探头频率 3.5Ｈｚ。患者饮水后使膀胱适度充盈 ,取仰卧位 ,探头在耻骨联合上作纵、横、斜多切面扫查 ,仔细观察子宫的大小形态、两侧附件的大小形态以及腹、盆腔有无液性暗区。2　结果本组宫外孕…     

超声检查在妇产科急腹症诊断中的临床分析

妇产科急腹症在急诊患者中是比较常见的疾病,其发病率呈显上升趋势.本文结合60例妇产科急腹症患者的超声图像,临床症状及体征,手术探查和术后病理检查结果,对超声检查在临床诊断中的应用价值进行分析。1材料与方法1.1一般资料收集我院2007年1月～2010年12月在妇产科急诊中的60例住院患者,年龄18～43岁之间,平均年龄29.25岁。     

妇产科急腹症中经阴道超声的诊断价值

妇产科急腹症是急诊科最常见的疾病,为探讨经阴道超声对妇产科急腹症的诊断价值,提高超声诊断的准确性及对临床治疗的指导意见,共分析237例妇产科急腹症经阴道二维超声及结合彩色多谱勒超声的声像资料,现报告如下。1资料与方法1.1研究对象:2010-01～2011-02我院收治的     

妇产科急腹症超声诊断的价值分析

超声诊断在妇产科急腹症诊断中应用能够直接显示子宫及其附件,其在异位妊娠中的准确率可以达到77％。93％左右,因此在妇产科急腹症诊断中具有独特的作用和价值,并且此方法简单、方便、迅速,能够为早期疾病的治疗提供重要的依据,是妇产科重要的检查方式。本研究回顾性分析了我院妇产科2010年7月～2012年7月实施超声诊断的40例妇产科急腹症患者的临床资料．现报道如下。     

390例急腹症的超声诊断

本文总结390例急腹症 B 超检查结果,对胆系输尿管结石、腹腔急性炎症、脏器穿孔、肠梗阻、腹部血管病变、闭合损伤、妇科急症等的声像图表现、鉴别诊断进行了讨论,诊断符合率达94.8%,有一定参考价值。     

Diagnostic aspiration of abdominal fluid in patients with acute abdomen

Twenty-two patients with acute abdominal symptoms were studied by abdominal sonography and by sonographically guided aspiration of intraperitoneal fluid. The colour of the fluid was found to be diagnostically valuable: a green colour indicated gallbladder perforation, a yellow colour was found in a variety of infectious diseases, a red colour in haemorrhagic pancreatitis or haemorrhage. Aspirating fluid from the peritoneal cavity under ultrasound guidance in connection with any routine ultrasound examination is a valuable and easy method for studying patients with symptoms of acute abdomen.     

螺旋CT对急腹症病因诊断的价值

目的：探讨螺旋CT对急腹症病因诊断的价值。方法：对363例临床怀疑为急腹症的患者行螺旋CT扫描,将术前CT诊断结果与手术、病理或临床随访结果进行对照。结果：CT发现287例真阳性,56例真阴性,18例假阴性和2例假阳性。CT对急腹症诊断的敏感性94.1%,特异性96.6%,准确性94.5%,病因诊断的准确性92.5%。结论：CT有助于诊断或排除急腹症,可快速显示急腹症的病变部位、程度和病因,为临床及时诊断和选择治疗方案提供准确的参考依据。     

Ultrasound in the acute pediatric abdomen: How accurate is it for surgical conditions?

The ultrasonographic and clinical findings in 295 consecutive patients undergoing ultrasound evaluation for adbominal complaints were retrospectively reviewed. The objective of the study was to determine the accuracy and validity of ultrasound in differentiating surgical from nonsurgical acute abdominal conditions. Our results demonstrated that ultrasound was 95% accurate in detecting surgical conditions. As a result, ultrasound is recommended as a satisfactory imaging modality for differentiating acute surgical from nonsurgical abdominal problems in children.     

Real-time contrast-enhanced ultrasound in diagnosing of focal spleen lesions

Objective

To investigate the features of focal spleen lesions (FSLs) on contrast-enhanced ultrasound (CEUS) imaging.

Materials and methods

CEUS with a blot injection of SonoVue was performed in 48 patients with 75 FSLs (median diameter 2.6 cm) and their perfusion characteristics were analyzed by using contrast pulse sequences (CPS) technique.

Results

Among 19 malignant lesions (10 metastases, 7 lymphoma, 1 hemangiosarcoma, 1 epithelioid hemangioendothelioma) and 56 benign lesion (23 hemangiomas, 14 cysts, 8 infarctions, 4 splenic ruptures, 3 tuberculosis, 2 abscess, 1 pseudoaneurysm, 1 lymphangioma), 25 benign lesions were demonstrated nonenhancement. For malignancy, 50.0% (5/10) metastases and 57.1% (4/7) lymphomas were showed hypoenhancement in the arterial phase, and 18 (94.7%) of malignant lesions were hypo-enhancement in the parenchymal phase. Among 31 benign lesions with enhancement, 27 (87.1%) were showed isoenhancement or hyperenhancement in the arterial phase and 22 (71.0%) lesions were isoenhancement or hyperenhancement in the parenchymal phase. The sensitivity, specificity and accuracy of diagnosis for FSLs were 91.1%, 95.0% and 92.0% for CEUS and 75.0%, 84.2% and 77.3% respectively, for the conventional baseline ultrasound (BUS).

Conclusion

Real-time CEUS can provide valuable information for the diagnosis and differential diagnosis of FSLs.     

超声在成人急腹症诊断中的应用价值(附395例分析)

目的:探讨超声检查对急腹症的临床应用价值。方法:回顾性分析395例急腹症的超声表现并与手术病理、随访结果进行对照。结果:395例急腹症中以急性胆囊炎、阑尾炎、泌尿系结石、妇科急症常见,共334例,占85%,其它急腹症61例,占15%。经手术和病理证实219例,176例临床随访证实。超声符合率89.9%。结论:超声对急腹症的早期诊断具有重要意义,是急腹症首选的诊断方法。     

超声可视化技术在腹腔镜手术治疗急腹症患儿中的应用价值

 目的 探讨超声可视化技术在腹腔镜手术治疗急腹症患儿中的应用价值。方法 选取2017-08至2019-08河北省儿童医院收治的急腹症患儿180例为研究对象,随机分为对照组和实验组,各90例。对照组给予腹腔镜手术治疗,实验组在腹腔镜手术中使用超声可视化技术协助。比较两组术中指标(手术时间、手术出血量)、术后恢复指标(下床活动时间、肠鸣音恢复时间、术后排气时间、住院时间)、并发症发生情况。结果 实验组患儿手术时间、下床活动时间、肠鸣音恢复时间、术后排气时间、住院时间与对照组比较明显缩短;实验组术中出血量较对照组明显减少、并发症发生率较对照组明显降低(P＜0.05)。结论 超声可视化技术在腹腔镜手术治疗急腹症患儿中的应用效果较好,有利于促进患儿恢复,降低并发症。     

The therapeutic impact of abdominal ultrasound in patients with acute abdominal symptoms

AIM: The technical performance of abdominal ultrasound in the investigation of acute abdominal pain has been thoroughly investigated but its therapeutic effects are less well understood. We aimed to determine the therapeutic effect of abdominal ultrasound in the investigation of acute abdominal pain. MATERIAL AND METHODS: A pre- and post-intervention observational study design was used to determine the diagnostic and therapeutic effects of abdominal ultrasound for acute abdominal pain. Referring clinicians completed a pre-ultrasound questionnaire that detailed their leading diagnosis, confidence in this and intended management in 100 consecutive adult patients. Following ultrasound a second questionnaire was completed. This again detailed the leading diagnosis, confidence in this and their intended management. Clinicians quantified the management contribution of ultrasound both for the individual case in question and in their clinical experience generally. RESULTS: The leading diagnosis was either confirmed or rejected in 72 patients and a new diagnosis provided where no prior differential diagnosis existed in 10. Diagnostic confidence increased significantly following ultrasound (mean score 6.5 pre-ultrasound vs 7.6 post-ultrasound, P < 0.001). Intended management changed following ultrasound in 22 patients; 15 intended laparotomies were halted and a further seven patients underwent surgery where this was not originally intended. Ultrasound was rated either 'very' or 'moderately' helpful in 87% of patients, with 99% of clinicians finding it either 'very' or 'moderately' helpful generally. CONCLUSION: Abdominal ultrasound has considerable diagnostic and therapeutic effect in the setting of acute abdominal pain.     

精氨酸对急腹症术后患者免疫功能的促进作用

 目的 研究利用精氨酸强化的肠外营养对急腹症术后患者免疫功能的影响.方法 选择我院住院的急腹症患者54例,随机分为研究组和对照组,其中研究组采用精氨酸强化的肠外营养,而对照组应用常规肠外营养.两组术后均连续应用肠外营养3 d.分别于术前1 d、术后1 d、术后4 d取血,测定血浆白蛋白、总蛋白、IgG、IgA、IgM、C3、C4、CD4+、CD8+等.结果 研究组血浆白蛋白、总蛋白、CD4+、CD8+及CD4+/ CD8+水平高于对照组,差异有统计学意义(P<0.05).研究组在术后第4天 C3、C4水平高于术前1 d,差异有统计学意义(P<0.05).其他指标在两组之间差异无统计学意义(P>0.05).结论 精氨酸强化的肠外营养能促进急腹症术后患者的血浆白蛋白、总蛋白的恢复,提高免疫功能.     

妇科急腹症的CT诊断价值

妇科急腹症发病快,病情危重,稍有不慎,易相互误诊或误诊为外科急腹症.为进一步探讨其CT征象,提高CT诊断的准确率,本文就我院2005年5月～2010年4月收治的20例妇科急腹症患者进行回顾性分析,并与手术病理对照,现报告如下.