妇科急腹症的超声诊断及误诊原因分析

目的：探讨超声在妇科急腹症诊断中的应用价值，并分析误诊原因。方法选择2011年12月～2013年12月我院诊治的237例妇科急腹症患者，所有患者均进行腹部超声检查和阴道超声检查，随后经手术确诊，比较各自及联合检查的诊断准确率。结果阴道超声检查的诊断准确率（90.3%）明显高于腹部超声检查（83.5%），联合检查的诊断准确率（96.2%）明显高于单项检查，差异均有统计学意义（P＜0.05）。结论腹部超声和阴道超声联合检查可显著提高妇科急腹症的诊断准确率，值得推广。

Analysis on the Ultrasonic Diagnosis and Misdiagnosis Reasons of Gynecological Acute Abdomen

Objective To explore the application value of ultrasound in the diagnosis of gynecological acute abdomen and analyze the misdiagnosis reasons. Methods 237 patients with gynecological acute abdomen treated in our hospital from December 2011 to December 2013 were selected. All patients were examined by abdominal ultrasound and transvaginal ultrasound, and later conifrmed by operations. Then the diagnostic accuracy of both isolated and combined examinations was compared. Results The diagnostic accuracy of transvaginal ultrasound, abdominal ultrasound and combined diagnosis were 90.3%, 83.5%, 96.2%, respectively, so the accuracy of transvaginal ultrasound was signiifcantly higher than that of abdominal ultrasound and the combined diagnosis was also signiifcantly higher than isolated diagnosis （P〈0.05）. Conclusion Combined diagnosis by abdominal ultrasound and transvaginal ultrasound which can signiifcantly improve the diagnostic accuracy of gynecological acute abdomen is worthy to be widely applied.