超声检查在妇科急腹症的诊断与鉴别诊断中的价值探讨

目的探讨超声检查在妇科急腹症的诊断与鉴别诊断应用价值。方法回顾性分析138例妇科急腹症的超声检查结果并与临床诊断对照。结果本组138例,诊断正确123例,诊断符合率为89.1%。其中,异位妊娠45例,正确诊断率为91.1/%;黄体破裂27例,正确诊断率为81.5/%;卵巢囊肿蒂扭转24例,正确诊断率为87.5/%;急性盆腔炎42例,正确诊断率为92.9/%。结论超声检查对妇科急腹症的诊断正确率较高,当症状不典型,声像图改变又缺乏特异时,容易造成误诊或漏诊,此时须详细询问病史,密切结合临床症状、化验结果,以提高诊断正确率。

The diagnostic value of ultrasonography in the gynecological emergency

Objective To evaluate the ultrasonography in the diagnosis and differential diagnosis of gynecologic emergency.Methods 138 patients suffered from gynecologic emergency were examined with ultrasonography. The images were retrospectively reviewed and compared with pathologic or clinical results.Results The total correct diagnostic rate was 89.1% . Among 138 cases of gynecologic emergency, there were 45 cases of ectopic pregnancy, 27 cases of ruptured corpus luteum, 24 cases of torsion of ovarian cyst, and 42 cases of acute pelvic inflammation. The correct diagnostic rates were 91.1% , 81.5% , 87.5% , 92.2% , respectively. Conclusion The ultrasonography plays an important role in the diagnosis of gynecological emergency. When the US findings were not typical, the clinical history, symptoms and HCG level should be considered in order to avoid misdiagnosis.