目的:探讨阴道超声联合经腹部超声对妇科急腹症的临床诊断价值。方法:选取我院自2010年1月至2013年10月期间收治的248例妇科急腹症患者进行分析研究,对所有患者分别进行阴道超声检查、腹部超声检查以及阴道、腹部联合超声检查,观察3种检查方式的检查准确率。结果:248例患者中,单独采用阴道检查,其检测总准确率为84.27%;单独采用腹部检查,其检测准确率为77.82%;进行联合检查,其检测总准确率达到97.98%。阴道检查的准确率要略高于腹部检查的准确率,但两者之间不存在统计学意义(P>0.05);但阴道检查与联合检查相比,联合检查准确率要明显高于阴道检查准确率,P<0.05,具有统计学意义;且联合检查的准确率要明显高于腹部检查的准确率,P<0.05,具有统计学意义。结论:经阴道超声联合经腹部超声对妇科急腹症进行诊断,能充分发挥两种检测方法的优点,进行优势互补,同时能有效提高病症诊断准确率,减少误诊发生,对于防止医患纠纷有明显作用,值得临床推广应用。 Objective: To explore the value of vaginal ultrasound combined with transabdominal ultrasound in the diagnosis of gynecologic acute abdomen. Methods: A total of 248 patients with gynecologic acute abdomen admitted from January 2010 to October 2013 in our hospital were analyzed. Vaginal ultrasonography, abdominal ultrasonography, vaginal and abdominal ultrasound examination were performed on all patients. 3 kinds of inspection methods check the accuracy. Results: In 248 patients, vaginal examination alone was used, the detection accuracy was 84.27%. When abdominal examination was used alone, the accuracy of detection was 77.82%. The joint examination showed that the total accuracy of detection was 97.98%. Vaginal examination accuracy rate slightly higher than the accuracy of abdominal examination, but there is no statistical significance between the two (P> 0.05); but the vaginal examination and joint examination, the combined examination accuracy was significantly higher than the accuracy of vaginal examination Rate, P <0.05, with statistical significance; and the accuracy of joint examination was significantly higher than the accuracy of abdominal examination, P <0.05, with statistical significance. Conclusion: Transvaginal ultrasonography combined with transabdominal ultrasound in the diagnosis of gynecologic acute abdomen can give full play to the advantages of the two methods and complement each other. At the same time, it can effectively improve the accuracy of diagnosis and reduce the misdiagnosis. Significant role, it is worth promoting clinical application.