术后盆腔感染诊断中超声的应用分析

发布时间：2018-02-21 18:15

本文关键词： 盆腔感染超声诊断　出处：《中华医院感染学杂志》2017年14期 　论文类型：期刊论文

【摘要】：目的探讨超声在术后盆腔感染诊断中的应用价值,为术后盆腔感染的诊断提供参考。方法选取2016年1-10月期间临床拟诊为术后盆腔感染的100例患者,行超声检查,并与确诊结果进行比较。结果确诊盆腔感染92例占92.00%;超声检查71例诊断盆腔感染占71.00%,其中30例输卵管炎占30.00%、15例子宫内膜炎占15.00%、4例宫腔积脓占4.00%、6例输卵管炎合并子宫内膜炎占6.00%、16例盆腔脓肿占16.00%、8例卵巢囊肿占8.00%、2例子宫肌瘤占2.00%、3例恶性肿瘤占3.00%、12例单纯盆腔积液占12.00%、4例未见异常占4.00%;超声诊断术后盆腔感染的敏感度为73.91%、特异度为62.50%、阳性预测值为95.77%、诊断符合率为73.00%。结论超声用于术后盆腔感染的诊断敏感度及特异性较低,超声下表现无特异性,容易误诊为其他疾病,应结合病理及其他检查以提高诊断的准确性。
[Abstract]:Objective to evaluate the value of ultrasound in the diagnosis of postoperative pelvic infection, and to provide reference for the diagnosis of postoperative pelvic infection. Results 92 cases (92.00%) were diagnosed pelvic infection, 71 cases (71.00%) were diagnosed pelvic infection, 30 cases (30.00000) were salpingitis, 15 cases (15.00%) were endometritis, 4 cases were uterine cavity pus (4.00%) and 6 cases were salpingitis complicated with salpingitis. 16 cases of pelvic abscess (16.00%) and 8 cases of ovarian cyst (8.00%), 2 cases of uterine leiomyoma (2.00%), 3 cases of malignant tumor (3.00%), 12 cases of simple pelvic effusion (12.00%), 4 cases of no abnormality (4.00%), the sensitivity of ultrasonic diagnosis of pelvic infection was 73.91, and the specificity was 4.00%. 62.50, the positive predictive value was 95.77 and the diagnostic coincidence rate was 73.00.Conclusion the diagnostic sensitivity and specificity of ultrasound for pelvic infection after operation are low. Ultrasonic findings are nonspecific and easy to be misdiagnosed as other diseases, which should be combined with pathology and other examinations to improve the accuracy of diagnosis.
【作者单位】：郑州大学第二附属医院超声科;
【分类号】：R445.1;R711.3

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