关键词: 妇科急腹症, 经腹部多普勒超声, 经阴道多普勒超声

Abstract: Objective: To investigate the clinical diagnosis value of single abdominal ultrasound, single transvaginal ultrasound and abdominal ultrasound combined with transvaginal ultrasound in diagnosis of gynecologic acute abdomen. Methods: 187 cases of gynecologic acute abdomen patients in our hospital all underwent abdominal ultrasound and transvaginal ultrasound; the results of ultrasound were contrastively analyzed with operation or biopsy to compared the diagnose accordance rate of 3 ultrasonographic methods. Results: The diagnose accordance rate of transvaginal ultrasound was 86.10% (161/187), which was obviously higher than abdominal ultrasound (P<0.05). The diagnose accordance rate of abdominal ultrasound combined with transvaginal ultrasound was 94.12% (161/187), which was obviously higher than single abdominal ultrasound and single transvaginal ultrasound (P<0.01). Conclusions: Abdominal ultrasound and transvaginal ultrasound have certain application value in diagnosis of gynecologic acute abdomen, but abdominal ultrasound combined with transvaginal ultrasound is helpful to improve diagnose accordance rate.

Key words: Gynecologic acute abdomen, Abdominal ultrasound, Transvaginal ultrasound