经腹部超声联合经阴道超声检查诊断妇产科急腹症

目的：探讨经腹部超声联合经阴道超声检查在妇产科急腹症诊断中的价值。方法：选择2013年1月～2016年6月经本院临床及病理确诊的妇产科急腹症患者110例为对象,所有患者均采用经腹部超声联合经阴道超声检查,比较超声检查诊断结果与临床病理诊断结果的符合率,并分析各类急腹症的超声影像表现。结果：经腹部超声联合经阴道超声检查诊断妇产科急腹症的符合率97.27%(107/110),与临床病理结果比较差异无统计学意义(P＞0.05)；诊断异位妊娠的符合率96.77%(30/31),诊断宫内孕流产的符合率94.44%(17/18),诊断卵巢囊肿破裂的符合率93.33%(14/15),诊断急性盆腔炎、卵巢肿瘤蒂扭转、子宫内膜异位症、胎盘早剥的符合率均为100%(23/23、10/10、8/8、5/5),与临床病理结果比较差异无统计学意义(P＞0.05)。结论：经腹部超声联合经阴道超声检查在诊断妇产科急腹症中,与临床病理结果的符合率高,是一种可行的方案。

Study the value of transabdominal ultrasound joint transvaginal ultrasound in the diagnosis of gynecological acute abdomen

Objective: To explore the value of transabdominal ultrasound joint transvaginal ultrasound in the diagnosis of gynecological acute abdomen. Methods: The gynecological acute abdomen patients 110 cases by clinical and pathological diagnosis through our hospital from January 2013 to June 2016, All of the patients used the transabdominal ultrasound joint transvaginal ultrasound examination, compare the ultrasound diagnosis with the clinical pathological diagnosis coincidence rate, and analyzes all kinds of ultrasonic imaging manifestation of gynecological acute abdomen. Results: The transabdominal ultrasound joint transvaginal ultrasound in the diagnosis of gynecological acute abdomen the coincidence rate of 97.27%(107/110), there was no statistically significant difference compared with the clinical pathologic results (P>0.05); Diagnosis of ectopic pregnancy the coincidence rate of 96.77%(30/31), diagnosis of intrauterine pregnancy abortion of 94.44%(17/18), diagnosis of Rupture of Ovarian Cyst coincidence rate of 93.33%(14/15), diagnosis of the acute pelvic inflammatory disease, ovarian tumors torsion, endometriosis and placental abruption the coincidence rate of were 100% (23/23, 10/10, 8/8, 23/23), there was no statistically significant difference compared with the clinical pathologic results (P>0.05). Conclusion: transabdominal ultrasound joint transvaginal ultrasound in the diagnosis of gynecological acute abdomen, the coincidence rate of high with clinical pathology results, it is a feasible solution.