彩色多普勒超声对妇产科急症的诊断价值探讨.pdfVIP

2007 4 9 2 Journal ofM ilitary Surgeon in Southwest China Apr, 2007; 9( 2) 彩色多普勒超声对妇产科急症的诊断价值探讨 李志艳, 徐龙江,李德树, 杨 玲,杨 琴, 龙 海, 苏锡雄 ( B, 650032) 探讨彩色多普勒超声检查对妇产科急 的 断与鉴别 断价值及对临床治疗的指导意见 收集手术病理证实的 168例各类妇产科急 的声像图表现, 进行分析总结, 并对非手术治疗的 46例进行随访观察, 了解其治疗效果 经手术病理证实的 168例各类妇科急 中: 异位妊娠 109例,黄体破裂 11例, 卵巢囊肿及多 囊卵巢扭转 9例, 不全流产及稽留流产 29例, 滋养细胞肿瘤 4例, 输卵管积水 6例非手术治疗的 46 个病例 中盆腔炎 症 19例, 胎儿窘迫 5例, 宫外孕22例,妊娠合并输尿管结石 1例, 超声随访观察图像多有变化 超声对妇产科急 能够提供 断依据, 对保守治疗部分患者超声引导穿刺治疗及随访观察也具有 一定临床价值 超声 断; 妇产科;急腹症; 宫外孕 R 4451 A 2007) Discussion of theDiagnosis Value of ColoredDoppler forEmergent Cases in Department ofGynecology and Obstetrics LI Zhiyan, XU Longjiang, LI eshu, YANG ling, YANG Q in, LONG Ha,i SU X ixiong, Kunm ing GeneralHospital ofChengduM ili tary Command, Kunm ing, Yunnan Province 65002 ABSTRACT Obj ective To discuss the diagnosis value ofColored oppler for emergent cases in department ofgynecology and obstetricsM e thods The sonograms of 168 caseswith various emergencies proved by operation and pathological examination in department of gynecology and obstetricswere collected and an analysiswasmade; followup wasmade to 48 cases receiving no surgical treatment so as to study the curative effectR esults Outof the 168 emergent cases proved by operation and pathological examination, therewere 109 casesw ith ectopic pregnancy, 11 casesw ith corpus luteum breaking, 9 casesw ith the torsion of ovary cysts and polycystic ovary, 29 casesw ith incomplete abortion andm issed abortion, 4 cases w ith trophoblastic tumor and 6 cases w ith hydrosalpinxOut of the 46 cases receiving no surgical treatment, therewere 19 casesw ith pelvic inflammation, 5 caseswith fetal distress, 22 caseswith extrauterine pregnancy, 1 casew ith pregnancy combinedw ith calculus ofureterThe followup showed changes in sonogra