Clinical Value of Transabdominal Ultrasonography Combined with Vaginal Ultrasonography on Acute Abdomen Diagnosis in Obstetrics and Gynecology Department

2021 ◽

Vol 11 (2) ◽

pp. 469-477

Author(s):

Sicong Li ◽

Liangzhi Xu

Keyword(s):

Acute Abdomen ◽

Ultrasound Imaging ◽

Diagnostic Value ◽

Obstetrics And Gynecology ◽

Imaging Diagnosis ◽

Clinical Value ◽

Obstetrics And Gynaecology ◽

Imaging Characteristics ◽

Objective Evidence ◽

Acute Pelvic Inflammatory Disease

Common types of gynecological acute abdomen include ovarian cyst pedicle torsion, ectopic pregnancy, luteal rupture, and acute pelvic inflammatory disease. Make accurate diagnosis and surgical treatment of acute abdomen patients in obstetrics and gynecology in time, otherwise it will cause life danger or loss of organ function, therefore, accurate and timely diagnosis and treatment of gynecological acute abdomen is very important for the prognosis of patients. Ultrasound imaging has important clinical value for the diagnosis of acute abdomen in obstetrics and gynecology. Ultrasound imaging has the advantages of simple examination, rapid reporting, and no pain in the subject, which is one of the best methods for diagnosing acute abdomen in obstetrics and gynecology. This study analysed and summarized the imaging principles of ultrasound imaging in acute obstetrics and gynecology and the imaging characteristics of various acute abdomen. A retrospective analysis of patients with acute obstetrics and gynaecology performed in our hospital from December 2017 to June 2019 was performed. The diagnostic analysis of ultrasound imaging in acute obstetrics and gynaecology was performed. The results showed that the ultrasound imaging diagnosis results of 202 obstetric and gynecological acute abdomen patients were compared with the results of surgery and pathological diagnosis. Among the 182 cases with correct ultrasound imaging diagnosis, the coincidence rate was 90.1%, and 20 cases were misdiagnosed, accounting for 9.9%. The research of this study shows that the ultrasound examination technique for patients with acute obstetrics and gynaecology is simple, fast, non-invasive, and has high accuracy. Ultrasound imaging can provide reliable objective evidence for the diagnosis and differential diagnosis of most acute abdominal diseases, in order to improve the diagnosis rate and reduce the misdiagnosis rate.

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Obstetrics and Gynecology Acute Abdomen Clinical Diagnosis and Differential Value of Ultrasonography

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2021.3553 ◽

2021 ◽

Vol 11 (8) ◽

pp. 2144-2152

Author(s):

Yu Tian ◽

Hong Luo ◽

Min He

Keyword(s):

Acute Abdomen ◽

Clinical Diagnosis ◽

Pathological Examination ◽

Obstetrics And Gynecology ◽

Common Disease ◽

Clinical Value ◽

Gynecology And Obstetrics ◽

Abdominal Disease ◽

The Difference ◽

Clinical Emergency

Acute abdomen in obstetrics and gynecology is a common disease in clinical emergency, most of the patients have the characteristics of complex condition and rapid progress, and need to be treated through clinical diagnosis. There are many traditional diagnosis methods, but the accuracy is not ideal. Ultrasound is a widely used imaging technique in recent years, which has the characteristics of simple operation and high accuracy, so it is favored by doctors and patients in obstetrics and gynecology. In this study, 200 patients with acute abdomen in obstetrics and gynecology were selected, and the results of pathological examination were taken as the gold standard to evaluate the clinical value of ultrasound examination. As a result, the misdiagnosed ultrasound group was significantly lower after the diagnosis than in the normal group, the difference was significant (P > 0.05). Therefore, the use of ultrasound imaging, the clinical diagnosis of acute abdominal diseases in gynecology and obstetrics achieves a clear diagnostic effect, improves the diagnostic accuracy of patients with acute abdominal disease in the clinical. It is very important for the development of targeted therapeutic programmes.

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Clinical value of serum estradiol and trans-vaginal ultrasonography for pregnancy outcomes in frozen-thawed embryo transfer in natural cycles

Fertility and Sterility ◽

10.1016/j.fertnstert.2013.07.362 ◽

2013 ◽

Vol 100 (3) ◽

pp. S496

Author(s):

A. Kuwahara ◽

C. Fukushima ◽

Y. Yano ◽

Y. Taniguchi ◽

K. Hinokio ◽

...

Keyword(s):

Embryo Transfer ◽

Pregnancy Outcomes ◽

Serum Estradiol ◽

Clinical Value ◽

Vaginal Ultrasonography ◽

Frozen Thawed Embryo Transfer ◽

Natural Cycles ◽

Thawed Embryo Transfer

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Use of transabdominal ultrasonography in the acute abdomen: Has it really revolutionised our colic work‐ups?

Equine Veterinary Education ◽

10.1111/eve.12931 ◽

2018 ◽

Vol 32 (1) ◽

pp. 22-24

Author(s):

S. J. Waxman

Keyword(s):

Acute Abdomen ◽

Transabdominal Ultrasonography

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The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes

Diagnostics ◽

10.3390/diagnostics11091731 ◽

2021 ◽

Vol 11 (9) ◽

pp. 1731

Author(s):

Roxana Covali ◽

Demetra Socolov ◽

Alexandru Carauleanu ◽

Ioana Pavaleanu ◽

Mona Akad ◽

...

Keyword(s):

Cesarean Delivery ◽

Postpartum Hemorrhage ◽

Uterine Cavity ◽

University Hospital ◽

Obstetrics And Gynecology ◽

The Novel ◽

Transabdominal Ultrasonography ◽

Scale Method ◽

Uterine Involution ◽

The Mean

Background: Uterine involution assessments are critical for the prevention of postpartum hemorrhage. Various methods have been used worldwide. Methods: The PUUS (Postpartum Uterine Ultrasonographic Scale) method evaluates, by transabdominal ultrasonography, the length of the endometrium of the uterine cavity occupied by blood or debris, from grade 0 (no blood) to grade 4 (over three-quarters of the endometrial length occupied by blood/debris). A total of 131 consecutive patients admitted for delivery in the Elena Doamna Obstetrics and Gynecology University Hospital in Iasi, Romania, were prospectively evaluated using the PUUS method. The mean age was 27.72 years old, and they were examined during the first 24–48 h after vaginal delivery, or in the first 48–72 h after cesarean delivery. For patients with a PUUS grade greater than 1, re-examination was preformed daily in the following days, until the PUUS grade decreased to 1 or 0. Results: By standardizing uterine involution in a numerical fashion, we precisely demonstrate that uterine involution varied with the method of delivery (vaginal/cesarean) and with the number of vials of oxytocin received intrapartum, but not with the number of vials of ergometrine maleate received, and not with the origin of the parturient (rural/urban).

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Clinical Application and Value of Ultrasound in Diagnosis of Acute Abdomen—A Single Center Experience

Research in Health Science ◽

10.22158/rhs.v3n1p1 ◽

2017 ◽

Vol 3 (1) ◽

pp. 1

Author(s):

Kong Soi Chau ◽

Ieong Chon Man

Keyword(s):

Acute Abdomen ◽

Clinical Application ◽

Diagnostic Technique ◽

Final Diagnosis ◽

Urinary Stones ◽

Clinical Value ◽

Single Center Experience ◽

Liver Abscesses ◽

Abdominal Disease ◽

Diagnostic Technology

This study is an analysis of the clinical value of ultrasonic diagnostic technique in the differential diagnosis of acute abdomen of the liver and gallbladder. Methods from July 2010 to October 2015, 641 cases of acute abdomen admitted to Macao Conde de Sao Januario Hospital were retrospectively analyzed. Among 641 cases of acute abdomen, 280 cases (43.7%) were diagnosed as acute appendicitis, 168 cases (26.3%) had acute pancreatitis, 79 cases (12.3%) had acute cholecystitis, 65 cases (10.1%) had urinary stones, 49 cases (7.6%) had liver abscesses. In 641 cases of acute abdominal disease, 584 cases were consistent with the results of ultrasonic examination and final diagnosis, which accounted for 91.1% of the total number of cases. Therefore, ultrasound diagnostic technology has a good clinical value in identifying acute abdomen, which helps to make correct pathological diagnosis, reduce misdiagnosis rate, and has no radiation and noninvasive. Therefore, it is worth further use in clinical application.

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