超声显像在妇产科急腹症诊断中的应用价值

目的探讨超声在妇产科急腹症中的诊断价值。方法对269例妇产科急腹症患者行超声检查,并与临床病理检查结果进行对照。结果异位妊娠78例,卵巢囊肿扭转26例,子宫内膜异位症(巧克力囊肿)44例,黄体破裂33例,急性盆腔炎性包块69例,卵巢囊肿破裂6例,子宫浆膜下肌瘤蒂扭转2例,卵巢畸胎瘤5例,卵巢泡膜纤维瘤2例,子宫肌瘤红色变性4例。超声诊断符合率分别为:83.3%、84.6%、81.8%、72.7%、82.6%、66.7%、50%、60%、50%、50%。结论方便快速的超声检查在妇科急症占重要地位。

Diagnostic Value of Ultrasonography in Acute Abdomen of Gynecology

Objective To explore the diagnostic value of ultrasonography in acute abdomen of women.Methods 269 women with acute abdomen were examined with ultrasonography,the results were compared with clinical and pathological data.Results Of 269 cases,78 cases of ectopic pregnancy,26 cases of ovarian cyst torsion,44 cases of endometriosis("chocolate" cyst),33 cases of ruptured corpus luteum cyst,69 cases of acute pelvic inflammatory mass,6 cases of ovarian cyst rupture,2 cases of pedical of subserous myoma,5 cases of ovarian teratomas,2 cases of ovarian fibromas and 4 cases of red degeneration of uterine myoma were diagnosed by sonography.In comparsion with pathological results,the accorded rates of ultrasonography were 83.3%,84.6%,81.8%,72.7%,82.6%,66.7%,50%,60%,50% and 50% respectively.Conclusion As its convenience and rapid,ultrasonography plays an important role for the diagnosis of acute abdomen in gynecology.