经腹B超检查在妇科急腹症中的应用价值分析

目的 探讨分析经腹B超检查在妇科急腹症中的应用价值.方法 对本院2012年1月～2013年1月收治的105例妇科急腹症患者的临床资料进行回顾性分析,总结经腹B超检查的准确率和影像学特点.结果 与临床病理诊断确诊结果比较,经腹B超检查诊断的准确率为93.33％（98/105）.其中异位妊娠诊断的准确率为96.67％,卵巢囊肿扭转诊断的准确率为93.33％,黄体囊肿破裂诊断的准确率为100.00％,急性盆腔炎诊断的准确率为91.67％,宫颈粘连诊断的准确率为90.00％,卵巢子宫内膜异位症诊断的准确率为90.00％,子宫肌瘤合并变性诊断的准确率为90.00％,处女膜闭锁诊断的准确率为80.00％.结论 经腹B超检查在妇科急腹症中的应用价值较高,准确率高、操作简便、经济实用,可以作为诊断妇科急腹症的首选方法,非常适合在基层医院中推广应用.

Abdominal B ultrasound examination and application value in the analysis of gynecologic acute abdomen

Objective To investigate the application value of transabdominal B-mode ultrasonography examination of gynecologic acute abdomen in the. Methods The clinical data of 105 cases of gynecological acute abdomen patients in our hospital from 2012 January to 2013 year in January were retrospectively analyzed the abdominal B ultrasound ex- amination,the rate of accuracy and the imaging features were summarized. Results Compared with the clinical patho- logical diagnosis results,abdominal B ultrasound diagnostic accuracy rate was 93.33% （98/105）.The accuracy rate of diagnosis of ectopic pregnancy was 96.67%,accuracy of torsion of ovarian cyst diagnosed 93.33%,accuracy rate of rup- ture of corpus luteum cyst diagnosed 100.00% ,accurate rate of diagnosis of acute pelvic inflammatory disease was 91.67%,accuracy rate of diagnosis of cervical adhesion for 90.00%,ovarian endometriosis diagnosis accuracy rate was 90.00% aceurately,myoma of uterus rate of combined degeneration diagnosed 90.00%,accurate rate of diagnosis for a- tresia hymen 80.00%. Conclusion The application of higher value of transabdominal B-mode ultrasonography in gy- necologic acute abdomen,high accuracy,convenient operation,economical and practical,can be used as the preferred method in the diagnosis of gynecological acute abdomen,it is very suitable for application in basic hospital.