Application value analysis of abdominal ultrasound combined with vaginal ultrasound in gynecological acute abdomen
腹部超声联合阴道超声在妇科急腹症中的应用价值分析

摘要

目的 分析妇科急腹症中应用腹部超声联合阴道超声的应用价值。方法 纳入我院2022年1月~2023年1月内妇科收治的疑似急腹症患者84例，患者均进行单一腹部超声、阴道超声与腹部超声联合阴道超声检查，以病理结果为金标准，分析检查方式的诊断价值。结果 金标准诊断显示，60例确诊为妇科急腹症。经腹部超声检查诊断出阳性46例，阴性14例；经阴道超声检查诊断出阳性50例，阴性10例。联合检查方式较单一检查方式准确度和特异度更高，且不同急腹症检出率更高，差异均有统计学意义（P＜0.05），但不同诊断方式间灵敏度差异不显著（P＞0.05）。结论 临床中使用腹部超声联合阴道超声在妇科急腹症中具有较高诊断准确性，能够帮助更好鉴别患者情况，为后续治疗提供参考。

Abstract

Objective To analyze the application value of abdominal ultrasound combined with vaginal ultrasound in gynecological acute abdomen.
Methods 84 suspected patients with acute abdomen admitted to the gynecology department of our hospital from January 2022 to January 2023 were included. All patients underwent single abdominal ultrasound, vaginal ultrasound, and combined abdominal ultrasound with vaginal ultrasound examination. Pathological results were used as the gold standard to analyze the diagnostic value of the examination methods.
Results The gold standard diagnosis showed that 60 cases were diagnosed with gynecological acute abdomen. 46 cases were diagnosed as positive and 14 cases as negative through abdominal ultrasound examination; Transvaginal ultrasound examination diagnosed 50 cases as positive and 10 cases as negative. The joint examination method has higher accuracy and specificity than the single examination method, and the detection rate of different acute abdominal diseases is higher, with statistically significant differences (P<0.05). However, there is no significant difference in sensitivity between different diagnostic methods (P>0.05).
Conclusion   The clinical use of abdominal ultrasound combined with vaginal ultrasound has high diagnostic accuracy in gynecological acute abdomen, which can help better distinguish the patient's condition and provide reference for subsequent treatment.