探析超声检查在妇科急腹症中临床应用.docVIP

探析超声检查在妇科急腹症中临床应用【摘要】 目的 探讨妇科急腹症的超声诊断特点及误诊原因。方法 对132例妇科急腹症患者进行回顾性研究。结果 132例患者中宫外孕 87例,卵巢黄体破裂19例,卵巢囊肿蒂扭10例,急性盆腔炎16例,超声诊断符合率为93.9%。结论 超声检查在妇科急腹症诊断中占重要的地位,具有方便易行、无创、重复性高优势,及时检查可为临床提供有价值的信息,结合病史、症状、体征和实验室检查,可提高超声诊断的符合率。 【关键词】妇科急腹症;超声检查;诊断率 Explore of gynecologic acute abdomen Ultrasonographic in the clinical application LIU Zhu-ping.Department of Functional,the hospital of T.C.M in you county Zhuzhou 412300,China 【Abstract】 Objective To explore the of the ultrasonic diagnosis of gynecologic acute abdomen characteristics and causes of misdiagnosis.Methods 132 cases of gynecologic acute abdomen patients were studied retrospectively.Results 132 cases of patients with the results of 87 cases of ectopic pregnancy,ruptured corpus luteum 19 cases,10 cases of ovarian cyst torsion,16 cases of acute pelvic inflammatory disease,Ultrasound diagnosis rate was 93.9%.Conclusion Ultras-onography in the diagnosis of gynecologic acute abdomen pain,which occupies an important position,with the convenience of easy,non-invasive,reproducible and high-edge,timely inspection can provide valuable clinical information,but should be combined with history,symptoms,signs and laboratory inspection,can improve the accuracy of ultrasound diagnosis. 【Key words】Gynecologic acute abdomen; Ultrasonographic; Diagnosis rate 作者单位:412300湖南省株洲市攸县中医院功能科 妇科急腹症起病急、变化快,病因复杂,病情危急多变,常给患者带来生命危险,单凭临床表现常难以作出正确的诊断,超声检查作为妇科急腹症诊断的重要辅助手段已得到一致的认可并已广泛应用于临床[1]。本文回顾性分析总结本院近年来132例各种常见妇科急腹症的声像图表现,旨在探讨超声检查在妇科急腹症的诊断价值,现总结报告如下。 1 资料与方法 1.1 一般资料 收集本院近年诊治的132例妇科急腹症患者,年龄18~60岁,平均36.5岁。所有病例均表现为下腹部剧烈疼痛或钝痛,伴或不伴有阴道流血、休克及盆腔肿块。 1.2 检查仪器 使用日本ALOKA-SSD630、ALOKA-SSD1400实时超声显像仪,凸阵式探头,频率为3.5~7.5 MHz。 1.3 检查方法 经腹部超声检查时,膀胱适度充盈,取仰卧位;已婚妇女经阴道超声检查时,排空膀胱,取膀胱截石位。超声检查记录以下内容:子宫的大小及形态、宫腔有无积液或孕囊,盆腔有无肿块,肿块的形态、大小、性质,有无孕囊,孕囊内有无胎芽及胎心,腹腔有无积液等。 2 结果 132例妇科急腹症患者中,宫外孕87例,其中流产型46 例,破裂型23例,陈旧型12例,误诊6例,占6.9%;卵巢黄体破裂19例,误诊1例,占5.2%; 卵巢囊肿蒂扭转10例,均确诊;急性盆腔炎16 例,误诊 1例,占6.3%。超声诊断符合率93.9%(124/132),不符合率6.1%。其中81例宫外孕正确诊断超声分型中:25例囊性包块,附件区7