Clinical value of combined abdominal and vaginal B-ultrasonography in the diagnosis and treatment of patients with acute abdomen in obstetrics and Gynecology
联合使用腹部及阴道B超检查对妇产科急腹症患者的诊断和治疗临床价值

摘要

目的 研究腹部及阴道B超检查对妇产科急腹症诊断效果和价值。方法选择2021年01月－2022年01月到本院妇产科治疗的急腹症患者100例，对全部患者实施金标准诊断和腹部超声诊断，分析诊断准确性、漏诊和误诊概率。结果实验组诊断准确率为98/100（98.00%）虽低于对照组，但p＞0.05；实验组漏诊率及误诊率虽高于对照组，但p＞0.05。结论妇科急腹症在临床发病概率，其中高患病率的疾病包含：异位妊娠疾病、卵巢破裂疾病、出血性输卵管炎疾病、子宫穿孔疾病和卵巢囊肿蒂扭转疾病等。对妇科急腹症诊断时，若出现误诊或漏诊的情况，治疗时机被错过，会使得机体造成较大的影响。运用腹部及阴道B超检查妇产科急腹症价值较高，可运用。

Abstract

Objective: To study the effect and value of abdominal and vaginal B-ultrasound in the diagnosis of acute abdomen in obstetrics and gynecology.
Methods: 100 patients with acute abdomen treated in obstetrics and Gynecology Department of our hospital from January 2021 to January 2022 were selected. All patients were diagnosed by gold standard and abdominal ultrasound. The diagnostic accuracy, missed diagnosis and misdiagnosis probability were analyzed.
Results: the diagnostic accuracy of the experimental group was 98 / 100 (98.00%), which was lower than that of the control group, but p > 0.05; The rate of missed diagnosis and misdiagnosis in the experimental group was higher than that in the control group, but p > 0.05.
Conclusion  : Gynecological acute abdomen in the clinical incidence probability, among which the high prevalence of diseases include: ectopic pregnancy disease, ovarian rupture disease, hemorrhagic salpingitis disease, uterine perforation disease and ovarian cyst torsion disease, etc. In the diagnosis of gynecological acute abdomen, if there is misdiagnosis or missed diagnosis, the treatment time is missed, which will cause a greater impact on the body.the application of abdominal and vaginal B-ultrasound in the examination of acute abdomen in obstetrics and gynecology is of high value and can be used.