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目的探讨超声在妇产科急腹症中的诊断价值。方法对269例妇产科急腹症患者行超声检查,并与临床病理检查结果进行对照。结果异位妊娠78例,卵巢囊肿扭转26例,子宫内膜异位症(巧克力囊肿)44例,黄体破裂33例,急性盆腔炎性包块69例,卵巢囊肿破裂6例,子宫浆膜下肌瘤蒂扭转2例,卵巢畸胎瘤5例,卵巢泡膜纤维瘤2例,子宫肌瘤红色变性4例。超声诊断符合率分别为:83.3%、84.6%、81.8%、72.7%、82.6%、66.7%、50%、60%、50%、50%。结论方便快速的超声检查在妇科急症占重要地位。
Objective To investigate the diagnostic value of ultrasound in obstetrics and gynecology acute abdomen. Methods 269 cases of obstetrics and gynecology patients with acute abdomen ultrasound examination and clinical and pathological examination results were compared. Results 78 cases of ectopic pregnancy, 26 cases of ovarian cyst torsion, 44 cases of endometriosis (chocolate cyst), 33 cases of luteal rupture, 69 cases of acute pelvic inflammatory mass, 6 cases of ovarian cyst rupture, Myoma pedicle torsion in 2 cases, 5 cases of ovarian teratoma, 2 cases of ovarian follicular fibroma, uterine fibroids red degeneration in 4 cases. The coincidence rates of ultrasonic diagnosis were 83.3%, 84.6%, 81.8%, 72.7%, 82.6%, 66.7%, 50%, 60%, 50%, 50% respectively. Conclusion Convenient and rapid ultrasound in gynecological emergency occupies an important position.