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编号:11418227
彩色多普勒超声对妇产科急症的诊断价值探讨
http://www.100md.com 《西南军医》 2007年第2期
超声诊断;妇产科;急腹症;宫外孕,,超声诊断;妇产科;急腹症;宫外孕,1资料与方法,2结果,3讨论,参考文献:
     【摘要】 目的 探讨彩色多普勒超声检查对妇产科急诊的诊断与鉴别诊断价值及对临床治疗的指导意见。方法 收集手术、病理证实的168例各类妇产科急诊的声像图表现,进行分析总结,并对非手术治疗的46例进行随访观察,了解其治疗效果。结果 经手术、病理证实的168例各类妇科急诊中:异位妊娠109例,黄体破裂11例,卵巢囊肿及多囊卵巢扭转9例,不全流产及稽留流产29例,滋养细胞肿瘤4例,输卵管积水6例。非手术治疗的46个病例中盆腔炎症19例,胎儿窘迫5例,宫外孕22例,妊娠合并输尿管结石1例,超声随访观察图像多有变化。结论 超声对妇产科急诊能够提供诊断依据,对保守治疗部分患者超声引导穿刺治疗及随访观察也具有一定临床价值。

    【关键词】 超声诊断;妇产科;急腹症;宫外孕

    Discussion of the Diagnosis Value of Colored Doppler for Emergent Cases in Department of Gynecology and Obstetrics

    LI Zhiyan,XU Longjiang,LI Deshu,YANG ling,YANG Qin,LONG Hai,SU Xixiong,Kunming General Hospital of Chengdu Military Command,Kunming,Yunnan Province 65002

    ABSTRACT Objective To discuss the diagnosis value of Colored Doppler for emergent cases in department of gynecology and obstetricsMethods The sonograms of 168 cases with various emergencies proved by operation and pathological examination in department of gynecology and obstetrics were collected and an analysis was made;followup was made to 48 cases receiving no surgical treatment so as to study the curative effectResults Out of the 168 emergent cases proved by operation and pathological examination ......

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