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目的评价彩色多普勒超声在妇科急腹症中的诊断及鉴别诊断价值。方法回顾性分析2005年2月至2006年2月复旦大学妇产科医院1036例妇科急腹症的超声检查结果并与病理结果对照。结果本组超声诊断总体符合率为96.53%。异位妊娠超声诊断符合率为99.62%;卵巢囊肿破裂超声诊断符合率为89.19%;卵巢囊肿蒂扭转超声诊断符合率为87.50%;急性盆腔炎超声诊断符合率为100%;不全流产超声诊断符合率为82.17%。结论超声检查准确、快捷、方便,为临床明确诊断及鉴别诊断妇科急腹症提供了较为可靠的依据。
Objective To evaluate the diagnostic value and differential diagnosis of color Doppler ultrasound in gynecologic acute abdomen. Methods The results of ultrasonography of 1036 cases of gynecological acute abdomen in Fudan University Obstetrics and Gynecology Hospital from February 2005 to February 2006 were retrospectively analyzed and compared with the pathological results. Results The overall coincidence rate of ultrasonic diagnosis in this group was 96.53%. The coincidence rate of ultrasound diagnosis of ectopic pregnancy was 99.62%. The coincidence rate of ultrasound diagnosis of ovarian cyst rupture was 89.19%. The coincidence rate of ultrasound diagnosis of ovarian cyst was 87.50%. The coincidence rate of ultrasound diagnosis of acute pelvic inflammatory disease was 100% The rate was 82.17%. Conclusion Ultrasonography is accurate, quick and convenient, and provides a reliable basis for the diagnosis and differential diagnosis of gynecologic acute abdomen.