超声诊断在妇产科急腹症中的临床应用价值分析

2016-02-16 11:10:24徐娟
中国继续医学教育 2016年3期

徐娟



超声诊断在妇产科急腹症中的临床应用价值分析

徐娟

【摘要】目的 分析超声诊断在妇产科急腹症中的临床应用价值。方法选取2013年11月~2015年11月我院妇产科收治的94例急腹症患者作为观察目标,对其临床资料进行回顾性分析,将超声诊断结果同手术、病理诊断结果进行对比。结果 94例患者超声诊断符合率为92.6% (87/96),误诊、漏诊率为7.4%(7/94)。结论 妇产科急腹症应用超声诊断,可显著提高诊断准确率,降低误诊和漏诊率,为临床选择对症治疗方案提供重要参考价值。

【关键词】急腹症;超声诊断;妇产科

The Application Value of Ultrasonic Diagnosis in Gynecological Acute Abdomen

XU Juan, Ultrasound department, Wulong County Maternity and Children's Health Care Center, Chongqing 408500, China

[Abstract] Objective To analyze the clinical value of ultrasonic diagnosis in gynecological acute abdomen. Methods From November 2013 to November 2015, 94 patients with acute abdominal pain in department of obstetrics and gynecology of our hospital were selected as research target, the clinical data were retrospectively analyzed, and the ultrasonic diagnostic results were compared with surgical and pathological diagnosis. Results The ultrasound diagnosis coincidence rate in 94 patients was 92.6% (87/96), misdiagnosis and missed diagnosis rate was 7.4% (7/94). Conclusion The application of ultrasound diagnosis of acute abdominal disease of obstetrics and gynecology can significantly improve the diagnostic accuracy and reduce the misdiagnosis and missed diagnosis, and provide important reference value.

[Key words]Acute abdominal pain, Ultrasound diagnosis, The department of obstetrics and gynecology

妇产科急腹症在临床急诊科中比较常见,亦是女性人群多发病,其主要特点为:发病急、病情进展速度快、性质严重、病情复杂,患者主要临床表现为阴道不规则流血、严重下腹部疼痛或胀痛,若不及时进行准确诊断和采取治疗措施,就会危及患者生命安全[1]。为分析超声诊断在妇产科急腹症中的临床应用价值,本文选取我院妇产科收治的94例急腹症患者作为观察目标,现进行如下报告:

1 资料与方法

1.1一般资料

选取2013年11月~2015年11月我院妇产科收治的94例急腹症患者作为观察目标,患者年龄20~50岁,平均年龄(35.5±4.7)岁。患者均表现出下腹部不同程度疼痛或者阴道引流等临床症状。

1.2方法

采用飞西门子ACUSON ANTARES和GEP5彩色超声诊断仪器为患者进行检查,将腹超声探头频率调整至3.5 MHz,经阴道超声探头频率则调整至5.0~7.5 MHz。进行经腹超声检查之前嘱患者对膀胱进行适度充盈,进行经阴道检查时则……

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