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目的探讨夜间超声检查对外科急腹症诊断的应用价值。方法回顾性分析412例夜间就诊的外科急腹症的超声表现并与手术、病理及随访结果进行对照。结果412例外科急腹症中以急性胆囊炎、泌尿系结石和急性阑尾炎常见,共292例,占70.9%,经手术和病理证实365例,15例临床随访证实,超声诊断符合率92.2%。结论夜间急诊超声检查对外科急腹症的早期诊断具有重要意义,是外科急腹症首选的诊断方法。
Objective To investigate the value of nighttime ultrasonography in the diagnosis of surgical acute abdomen. Methods We retrospectively analyzed the ultrasound findings of 412 cases of surgical acute abdomen treated at night and compared with the results of surgery, pathology and follow-up. Results A total of 412 cases of acute acute cholecystitis, urolithiasis and acute appendicitis were found in 412 surgical cases. A total of 292 cases (70.9%) were confirmed by operation and pathology. 365 cases were confirmed by surgery and pathology. The coincidence rate of ultrasonic diagnosis was 92.2%. Conclusion The nighttime emergency ultrasound examination is of great significance to the early diagnosis of surgical acute abdomen. It is the first choice of diagnosis for surgical acute abdomen.