Study on the diagnostic value of abdominal ultrasound combined with vaginal ultrasoundin obstetrics and gynecology acute abdomen
腹部B超联合阴道B超对妇产科急腹症的诊断价值研究

摘要

目的 探讨腹部B超联合阴道B超对妇产科急腹症的诊断价值。方法：回顾性分析我院2022年1月～2023年1月期间收治的妇产科急腹症患者40例作为研究对象，依据随机数表法分成参照组（采用腹部B超进行诊断）和研究组（在对照组基础上结合阴道B超进行诊断）各20例。对比两组患者临床诊断后的效果。结果：研究组患者的检出率明显高于参照组患者，误诊率以及漏诊率明显低于参照组患者，（p＜0.05）。研究组诊断的敏感度及特异度均优于参照组，且研究组诊断的病情严重程度准确率优于参照组，（P<0.05）。研究组患者的接受检查后的整体满意度明显优于参照组患者，（p＜0.05）。结论：通过腹部B超和阴道B超的联合检查，可以大大缩短患者进行检查所需的时间，并且避免了因一些不典型病例的鉴别诊断困难而需要进行不必要的剖腹手术的风险。基于声像图的表现，可以对病变进行初步的病理分类，从而有助于临床采取相应的治疗措施。

Abstract

Objective To explore the diagnostic value of abdominal ultrasound combined with vaginal ultrasound in obstetrics and gynecology acute abdomen.
Methods A retrospective analysis was conducted on 40 patients with gynecological acute abdomen admitted to our hospital between January 2022 and January 2023. They were randomly divided into a reference group (diagnosed with abdominal ultrasound) and a study group (diagnosed with vaginal ultrasound on the basis of the control group), with 20 cases in each group, using a random number table method. Compare the effectiveness of clinical diagnosis between two groups of patients.
Results The detection rate of the study group patients was significantly higher than that of the reference group patients, and the misdiagnosis rate and missed diagnosis rate were significantly lower than those of the reference group patients (p<0.05). The sensitivity and specificity of the study group's diagnosis were better than those of the reference group, and the accuracy of the study group's diagnosis of the severity of the disease was better than that of the reference group (P<0.05). The overall satisfaction of the study group patients after examination was significantly better than that of the control group patients (p<0.05).
Conclusion   The combined examination of abdominal B-mode ultrasonography and vaginal B-mode ultrasonography can greatly shorten the time required for the examination of patients and avoid the risk of unnecessary laparotomy due to the difficulty in differential diagnosis of some atypical cases. Based on the performance of the sonogram, the lesions can be preliminarily classified into pathological categories, which is helpful for clinical.