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目的探讨彩色多普勒超声在妇产科急腹症中的诊断价值。方法选取该院2015年1月—2016年1月妇产科的98例急腹症患者进行回顾性分析,运用彩色多普勒超声检查。同时对比术后病理、实验室检查、手术探查等检查结果,对多普勒彩超的准确率、敏感性、特异性、阳性预测值、阴性预测值进行统计分析。结果 98例患者中,黄体破裂8例,异位妊娠57例,急性盆腔炎14例,卵巢囊肿蒂扭转7例,子宫肌瘤变性12例,其中多普勒彩超检查与综合诊断检查相符合93例,误诊或漏诊5例,准确率为94.90%。98例患者中,多普勒彩超检查与综合诊断检查相符合93例,误诊或漏诊5例,敏感性为97.89%,特异性为50.00%,阳性预测值为98.94%、阴性预测值为25.00%。结论彩色多普勒超声在妇产科急腹症中具有诊断价值,可以提供可靠地诊断,同时具有操作简便,无创性等特点,可以提高临床诊断准确率,同时对急腹症的治疗有着一定的意义,值得在临床中推广。
Objective To investigate the diagnostic value of color Doppler ultrasound in acute abdomen obstetrics and gynecology. Methods A retrospective analysis of 98 patients with acute abdomen from January 2015 to January 2016 in the obstetrics and gynecology department of our hospital was conducted. Color Doppler ultrasonography was used. The accuracy, sensitivity, specificity, positive predictive value and negative predictive value of Doppler ultrasound were analyzed statistically by comparing the results of postoperative pathology, laboratory tests and surgical exploration. Results Among the 98 patients, 8 cases had rupture of corpus luteum, 57 cases had ectopic pregnancy, 14 cases had acute pelvic inflammatory disease, 7 cases had torsion of ovarian cyst, 12 cases had uterine fibroids degeneration. Among them, Doppler ultrasound combined with comprehensive diagnostic test 93 Cases, misdiagnosis or missed diagnosis in 5 cases, the accuracy rate of 94.90%. Among the 98 patients, 93 cases were diagnosed by Doppler ultrasound and 5 cases were misdiagnosed or missed. The sensitivity and specificity were 97.89%, 50.00%, 98.94% and 25.00%, respectively. . Conclusion Color Doppler ultrasound in the diagnosis of acute abdomen obstetrics and gynecology, which can provide reliable diagnosis, with simple, non-invasive and other characteristics, can improve the accuracy of clinical diagnosis, while the treatment of acute abdomen has a certain Meaning, it is worth in the clinical promotion.