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目的:分析妇产科急腹症的超声临床诊断及鉴别价值。方法:回顾性选择我院经手术病理检查确诊的36例异位妊娠患者和16例卵巢黄体破裂患者为研究对象。对比分析两组患者的超声检查表现及特征,包括超声成像表现、血流定量分型特征、血流频谱阻力指数(RI值)及血流频谱特征。结论:针对不典型异位妊娠及卵巢黄体破裂,早期超声成像表现缺乏有力的鉴别特征时,可通过血流显像及频谱特征的对比分析予以二者鉴别诊断,以提高临床诊断率。
Objective: To analyze the clinical value of ultrasonic diagnosis and differential diagnosis of obstetrics and gynecology acute abdomen. Methods: Thirty-six cases of ectopic pregnancy and 16 cases of luteal rupture confirmed by pathological examination in our hospital were retrospectively selected as the study subjects. The performance and characteristics of ultrasonography in two groups were compared and analyzed, including the performance of ultrasound imaging, the quantitative classification of blood flow, the index of RI and the frequency spectrum of blood flow. Conclusion: In the absence of strong differential features of early echocardiography in atypical ectopic pregnancy and corpus luteum rupture, the differential diagnosis between the two can be made through the comparative analysis of blood flow imaging and spectral features to improve the clinical diagnosis rate.