彩色多普勒超聲對(duì)婦產(chǎn)科急癥的診斷價(jià)值探討

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1、彩色多普勒超聲對(duì)婦產(chǎn)科急癥的診斷價(jià)值探討【關(guān)鍵詞】，，超聲診斷；婦產(chǎn)科；急腹癥；宮外孕【摘要】日的探討彩色多普勒超聲檢查對(duì)婦產(chǎn)科急診的診斷與鑒別診斷價(jià)值及對(duì)臨床治療的指導(dǎo)意見(jiàn)。方法收集手術(shù)、病理證實(shí)的168例各類婦產(chǎn)科急診的聲像圖表現(xiàn)，進(jìn)行分析總結(jié)，并對(duì)非手術(shù)治療的46例進(jìn)行隨訪觀察，了解其治療效果。結(jié)果經(jīng)手術(shù)、病理證實(shí)的168例各類婦科急診屮：異位妊娠109例，黃體破裂11例，卵巢囊腫及多囊卵巢扭轉(zhuǎn)9例，不全流產(chǎn)及稽留流產(chǎn)29例，滋養(yǎng)細(xì)胞腫瘤4例，輸卵管積水6例。非手術(shù)治療的46個(gè)病例中盆腔炎癥19例，胎兒窘迫5例，宮外孕22例，妊娠合并

2、輸尿管結(jié)石1例，超聲隨訪觀察圖像多有變化。結(jié)論超聲對(duì)婦產(chǎn)科急診能夠提供診斷依據(jù)，對(duì)保守治療部分患者超聲引導(dǎo)穿刺治療及隨訪觀察也具有…定臨床價(jià)值。【關(guān)鍵詞】超聲診斷；婦產(chǎn)科；急腹癥；宮外孕DiscussionoftheDiagnosisValueofColoredDopplerforEmergentCasesinDepartmentofGynecologyandObstetriesLIZhiyan,XULongjiang,LIDeshu,YANGling,YANGQin,LONGHai,SUXixiong,KunmingGeneralHosp

3、italofChengduMilitaryCommand,Kunming,YunnanProvince65002ABSTRACTObjectiveTodiscussthediagnosisvalueofColoredDopplerforemergentcasesindepartmentofgynecologyandobstetricsMethodsThesonogramsof168caseswithvariousemergenciesprovedbyoperationandpathologicalexaminationindepartmen

4、tofgynecologyandobstetricswerecollectedandananalysiswasmade；followupwasmadeto48casesreceivingnosurgicaltreatmentsoastostudythecurativeeffectResultsOutofthe168emergentcasesprovedbyoperationandpathologicalexamination,therewere109caseswithectopicpregnancy,11caseswithcorpuslut

5、eumbreaking,9caseswiththetorsionofovarycystsandpolycysticovary,29caseswithincompleteabortionandmissedabortion,4caseswithtrophoblastictumorand6caseswithhydrosalpinxOutofthe46casesreceivingnosurgicaltreatment,therewere19caseswithpelvicinflammation,5caseswithfetaldistress,22c

6、aseswithextrauterinepregnancy,1casewithpregnancycombinedwithcalculusofureterThefollowupshowedchangesinsonogramsConclusionsUltrasoundcanprovidebasisfordiagnosisintheemergentcasesindepartmentofgynecologyandobstetrics；itisofcertainclinicalvalueinpunctuationguidedbyultrasoundf

7、orthosecasesreceivingexpectanttreatmentandinfollowupKEYWORDSultrasonicdiagnosis,departmentofgynecologyandobstetricsacuteabdomenextrauterinepregnancy近年來(lái)，隨著超聲技術(shù)的快速發(fā)展，超聲檢查對(duì)婦產(chǎn)科急癥已能盡快地做出較準(zhǔn)確的提供快速診斷，贏得搶救時(shí)間，減少患者死亡率。超聲對(duì)婦產(chǎn)科急診非手術(shù)治療的患者可進(jìn)行隨訪，動(dòng)態(tài)觀察其治療效果。本文對(duì)我院2004年1月到2006年6月的214例婦產(chǎn)科急癥患者進(jìn)行

8、了回顧性分析，旨在探討超聲對(duì)婦產(chǎn)科急癥的診斷價(jià)值。1資料與方法11研究對(duì)象本組病例均為我院2004?2006年收治的婦產(chǎn)科急癥患者，年齡17?68歲。臨床表現(xiàn)：腹痛126例，不規(guī)