梁锡阳??梁玉玲??万芝兰??黄冬玲??刘兴斌??陈奇辉??邓艳芬

[摘要] 目的 探讨阴道联合腹部超声在诊断妇科急腹症中的应用价值。方法 选择2010年6月～2013年6月于我院就诊的80例妇科急腹症患者，根据检查的方法不同，分成两组：经腹部超声组和经阴道联合腹部超声组，每组40例。对两组患者进行随访，与病理手术最终所得结果进行比较。结果 以术后病理结果为对照，经阴道联合腹部超声组的诊断符合率为95.0%，单纯经腹部超声组的诊断符合率为82.5%，经阴道联合腹部超声组明显高于经腹部超声组，两组差异具有统计学意义（P<0.05）。结论 经腹部和经阴道超声联合检查对妇产科急腹症的诊断价值明显优于单纯经腹部超声检查。

[关键词] 妇科急腹症；阴道超声；腹部超声

[中图分类号] R445.1 [文献标识码] B [文章编号] 2095-0616（2014）04-127-03

Application value of vaginal ultrasound combined with abdominal ultrasound in the diagnosis of gynecological acute abdomen

LIANG Xiyang LIANG Yuling WAN Zhilan HUANG Dongling LIU Xingbin

CHEN Qihui DENG Yanfen

Department of Ultrasonography，Shijie Hospital of Dongguan，Dongguan 523290，China

[Abstract] Objective To study the application value of vaginal ultrasound combined with abdominal ultrasound in the diagnosis of gynecological acute abdomen. Methods 80 patients with gynecological acute abdomen from June 2010 to June 2013 in our hospital were chose as the research object，according to the method， 80 patients were randomly divided into two groups：the vaginal ultrasound group and abdominal ultrasound group， 40 cases in each group. The results of two groups were compared with pathologic surgical results eventually. Results Compared with surgical pathology results，the diagnosis coincidence rate in abdominal and transvaginal ultrasound diagnosis group was 95.0%， and the diagnostic coincidence rate in abdominal ultrasound diagnosis group was 82.5%， the diagnosis coincidence rate in vaginal ultrasound diagnosis group was significantly higher than that in abdominal ultrasound group（P<0.05）. Conclusion The application value of vaginal ultrasound combined with abdominal ultrasound in the diagnosis of gynecological acute abdomen is superior to pure abdominal ultrasound.

[Key words] Gynecological acute abdomen；Vaginal ultrasound；Abdominal ultrasound

妇科急腹症在临床比较常见，以急性腹痛为主要临床表现，无典型的临床症状与体征，由于其起病病因复杂、病情变化快，严重时可危及生命，因此早期诊断和紧急处理是救治患者的关键[1]。超声诊断技术是妇产科临床不可缺少的一项辅助诊断技术，操作简单、无创伤、结果报告迅速，一直是诊断妇科急腹症的首选方法。近年来发现，腹部超声诊断在妇科急腹症临床诊断的过程中存在一定的局限性[2-3]。阴道超声是一种腔内超声，具有频率高、分辨率高、对微小病灶能清晰准确显示的特点。研究资料显示，经阴道超声和腹部超声联合应用对提高诊断妇科急腹症的准确率具有重要临床价值[4-5]。本研究选择我院2010年6月～2012年6月就诊的80例妇科急腹症患者，采用经腹部超声和经阴道联合腹部超声进行检查，以术后病理结果为对照，现将相关结果报道如下。……