河北医科大学学报

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腹部超声联合阴道超声诊断妇科急腹症的临床应用研究

  

  1. 1.河北省曲周县中医院功能科彩超室，河北 曲周 057250；2.河北医科大学第四医院超声科，河北 石家庄 050011
  • 出版日期:2017-01-25 发布日期:2017-02-08
  • 作者简介:韩培辰(1964-)，男，河北邯郸人，河北省曲周县中医院主治医师，医学学士，从事超声医学诊断研究。

Study on clinical application of abdominal ultrasound and transvaginal ultrasound in the diagnosis of gynecological acute abdomen

  1. 1.Department of Ultrasound， the Traditional Chinese Medicine Hospital of Quzhou County, Hebei
    Province, Quzhou 057250, China; 2.Department of Ultrasound， the Fourth Hospital of
    Hebei Medical University, Shijiazhuang 050011, China
  • Online:2017-01-25 Published:2017-02-08

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摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗研究腹部超声联合阴道超声在诊断妇科急腹症中的临床应用价值。
〖HTH〗方法〖HTSS〗〖KG*2〗将168例妇科急腹症患者随机分为腹部超声组、阴道超声组以及腹部、阴道超声联合组各56例，将各组超声结果与手术病理结果进行比较。
〖HTH〗结果〖HTSS〗〖KG*2〗结果显示经联合超声诊断的准确率为94.6%，腹部超声检查和阴道超声检查的准确率分别为73.2%和82.1%，联合超声诊断组诊断的准确率与2组比较差异均有统计学意义（P＜005）。
〖HTH〗结论〖HTSS〗〖KG*2〗腹部超声联合阴道超声诊断妇科急腹症明显优于单一应用腹部超声或阴道超声，诊断的准确率明显提高，值得在临床上推广应用。

关键词: 急腹症, 超声检查, 妇科检查

Abstract: ［Abstract］ Objective〖HTSS〗〓To study the value of transabdominal and transvaginal ultrasound in the diagnosis of gynecological acute abdomen.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 168 patients with gynecological acute abdomen confirmed by surgery was randomly assigned to transabdominal  ultrasound group (n=56), transvaginal ultrasound group (n=56), and the combined approach group (n=56). The ultrasound results were compared with clinical diagnostic results.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The results showed that the accuracy of the combined ultrasound diagnosis was 94.6%, the accuracy rate of abdominal ultrasound and transvaginal ultrasound were 73.2% and 82.1%, respectively. The diagnostic accuracy of combined ultrasound diagnosis group was significantly different from that of the 2 groups (P＜005). Coincidental rate of transabdominal combined with transvaginal ultrasound was significantly higher than that alone use, there was significant difference between them.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Abdominal ultrasound combined with transvaginal ultrasound in the diagnosis of gynecological acute abdomen is superior to the single application of abdominal ultrasound or transvaginal ultrasound. The diagnostic accuracy is obviously improved, and it is worth popularizing in clinic.

Key words: abdomen, acute, ultrasonography, gynecological examination

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