雷硕 张璐

[摘要] 目的 探讨腹部B超与阴道B超诊断妇产科急腹症的效果。 方法 随机抽取121例妇产科急腹症患者，对其临床资料进行回顾性分析，所有患者均进行常规腹部B超、阴道B超及腹部B超联合阴道B超检查，以术后病理诊断为准，比较3种检查方法的临床诊断符合率。 结果 术后病理诊断结果显示，121例妇产科急腹症患者中，异位妊娠破裂50例，胚胎停止发育35例，急性盆腔炎症21例，黄体破裂11例，宫颈粘连4例。腹部B超诊断确诊95例，确诊率为78.5%；阴道B超诊断确诊 107例，确诊率为88.4%；腹部B超联合阴道B超诊断确诊114例，确诊率为94.2%；腹部B超联合阴道B超诊断准确率明显高于单一B超检查方式，差异有统计学意义（P<0.05）。 结论 腹部B超、阴道B超均具有较高的诊断价值，且诊断过程方便无痛苦，可在基层医院进行广泛推广。但是，在诊断妇产科急腹症时，两种检查方法均存在一定局限性。通过临床实践经验表明，腹部B超联合阴道B超检查妇产科急腹症，可显著提高患者诊断准确性，进而为临床制定治疗方案提供便利条件，在妇产科急腹症诊疗工作中具有重要意义。

[关键词] 腹部B超；阴道B超；妇产科；急腹症

[中图分类号] R [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0192-03

Effect Analysis of Abdominal B Ultrasound and Transvaginal B Ultrasound in Diagnosis of Gynecological Acute Abdomen

LEI Shuo， ZHANG Lu

Department of Function， Chongqing Sanbo Jiangling hospital， Chongqing，400021 China

[Abstract] Objective To discuss the effect of abdominal B ultrasound and transvaginal B ultrasound in diagnosis of gynecological acute abdomen. Methods 121 cases of patients with gynecological acute abdomen were extracted and their clinical data were retrospectively analyzed， all patients were given conventional abdominal B ultrasound， transvaginal B ultrasound and abdominal B ultrasound combined with transvaginal B ultrasound examination， the clinical diagnostic accordance rate of the three examination methods was compared referring to the postoperative pathologic diagnosis. Results The postoperative pathologic diagnosis results showed that in the 121 cases of patients with gynecological acute abdomen， ruptured ectopic pregnancy occurred to 50 cases， embryo damage occurred to 35 cases， acute pelvic inflammatory disease occurred to 21 cases， ovarian corpus lateum rupture？occurred to 11 cases， cervical adhesion occurred to 4 cases， 95 cases were diagnosed by abdominal B ultrasound， the diagnosis rate was 78.5%， 107 cases were diagnosed by transvaginal B ultrasound， the diagnosis rate was 88.4%， 114 cases were diagnosed by abdominal B ultrasound combined with transvaginal B ultrasound， the diagnosis rate was 94.2%， the diagnostic accuracy rate of abdominal B ultrasound combined with transvaginal B ultrasound was obviously higher than that of simple B ultrasound， and the difference was statistically significant（P<0.05）. Both abdominal B ultrasound and transvaginal B ultrasound has a higher diagnosis value， and the diagnosis process is convenient and has no pains， and it can be widely promoted in the primary hospitals， however， both examination methods have a certain limitation in diagnosis of gynecological acute abdomen， the clinical practice experience shows that abdominal B ultrasound combined with transvaginal B ultrasound in diagnosis of gynecological acute abdomen Conclusion Can obviously improve the diagnostic accuracy rate of patients thus providing convenient conditions for making treatment plans in clinic， and it is of important significance to the diagnosis and treatment of gynecological acute abdomen.

[Key words] Abdominal B ultrasound； Transvaginal B ultrasound； Gynecologic

妇产科急腹症主要是指急性下腹痛症状，是临床比较常见的急性病症，具有发病急、病情变化快等特点，可导致患者出现剧烈腹痛、内外出血[1]。为此，及时为患者做出正确诊断，对确立治疗措施具有重要推动作用，同时也可避免患者病情被延误，进而解除生命危险。超声检查是现阶段临床主要诊断工具，可直接对患者子宫形态、内部状况进行观察，且操作简便、安全无创。该研究旨在探讨腹部B超与阴道B超诊断妇产科急腹症的效果，为此回顾性分析该院2012年4月—2015年3月121例妇产科急腹症患者的临床资料，现报道如下。

1 资料与方法

1.1 一般资料

随机抽取该院2012年4月—2015年3月收治的121例妇产科急腹症患者作为观察对象，并对其临床资料进行回顾性分析，所有患者均符合妇产科急腹症的临床诊疗标准[2-3]，并对该院的相关诊疗活动知情同意。……