周艳丽

[摘要] 目的 探析超声影像学技术在妇产科急腹症病例辅助检查中的临床应用价值。 方法 方便选取2015年2月—2018年2月期间入该院妇产科接受诊疗的62例急腹症患者作为研究对象，回顾性分析临床检查资料，统计超声检查诊断符合率。 结果 62例妇产科急腹症患者临床确诊异位妊娠36例、卵巢囊肿合并感染11例、急性盆腔炎9例、黄体破裂1例和输卵管炎输卵管脓肿5例，经超声影像学检查诊断符合率达98.38%，仅1例异位妊娠误诊为急性盆腔炎。结论 妇产科急腹症采用超声影像学技术检查，结果准确率高，临床应用价值高，值得推广。

[关键词] 超声影像学技术;妇产科;急腹症;诊断

[中图分类号] R446          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0191-03

Analysis of the Role of Ultrasound Imaging in Clinical Diagnosis of Obstetric and Gynecological Acute Abdomen

ZHOU Yan-li

Color Ultrasonic Room， Fengxian Peoples Hospital， Fengxian， Jiangsu Province， 221700 China

[Abstract] Objective To analyze the clinical application value of ultrasound imaging technique in case-assisted examination of obstetrics and gynecology acute abdomen. Methods A total of 62 patients with acute abdomen who were admitted to the Department of Obstetrics and Gynaecology in the hospital from February 2015 to February 2018 were convenient selected as the study subjects. The clinical examination data were retrospectively analyzed and the coincidence rate of the diagnostic ultrasound was evaluated. Results A total of 62 cases of acute abdomen in obstetrics and gynecology were  clinically diagnosed in 36 cases of ectopic pregnancy， 11 cases of ovarian cyst infection， 9 cases of acute pelvic inflammatory disease， 1 case of corpus luteum rupture， and 5 cases of fallopian tube abscess in salpingitis. The diagnosis rate was 98.38% confirmed by ultrasonography. Only one ectopic pregnancy was misdiagnosed as acute pelvic inflammatory disease. Conclusion Obstetrics and Gynecology acute abdomen using ultrasound imaging techniques， the results of high accuracy， high clinical value， it is worth promoting.

[Key words] Ultrasound imaging techniques; Obstetrics and gynecology; Acute abdomen; Diagnosis

婦产科急腹症临床症状显著，如腹痛、面色苍白、阴道出血等，常见病变类型有流产、宫外孕、急性盆腔炎等，这些疾病发病快、进展迅速、病因复杂，临床需做到尽早诊断并及时采取有效治疗对策[1]。该文就将探析超声影像学技术在妇产科急腹症病例辅助检查中的临床应用价值，特对2015年2月—2018年2月期间入该院妇产科接受诊疗的62例急腹症患者进行了回顾性分析，现报道如下。

1  资料与方法

1.1   一般资料

方便选取入该院妇产科接受诊疗的62例急腹症患者，年龄最轻24岁，最大46岁，平均年龄（35.56±10.95）岁，所有纳入研究病例入院前均已表现出不同程度腹痛，其中急性腹痛30例、慢性腹痛至进行性加剧15例、阴道出血症10例、呕吐症7例，所有纳入研究患者妇产科急腹症表现显著，临床资料完整，对此研究知情，签署了同意书参与其中，且研究已获得院内伦理委员会批准。……