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首页> 外文期刊>Therapeutics and Clinical Risk Management >Gynecological emergency ultrasound in daytime and at night: differences that cannot be ignored
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Gynecological emergency ultrasound in daytime and at night: differences that cannot be ignored

机译：白天和晚上的妇科急诊超声检查：不可忽视的差异

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Background: Ultrasonography, the preferred adjunct examination method and the differential diagnostic tool for gynecologic emergency, can reflect the change pattern of gynecological diseases in daytime and at night. The purpose of this study was to analyze the diseases through gynecological emergency ultrasound in daytime and at night and to evaluate the day–night difference in the accuracy of ultrasound diagnosis. Materials and methods: Retrospective analysis was performed on the 2016 clinical data of the patients who had undergone gynecological emergency ultrasound at The First Affiliated Hospital of Guangxi Medical University, and the results of the ultrasound diagnosis were compared with the clinical diagnosis. Results: The following categories of gynecologic emergency diseases during the daytime and at night have significant statistical differences in the constituent ratio ( P 0.05). The overall coincidence rate of ultrasound diagnosis was 96.3% (daytime, 97.9%; night, 86.4%). The coincidence rates of ectopic pregnancy ultrasonography diagnosis in daytime and at night were 96.4 and 75.4%, respectively; the difference was statistically significant ( P <0.001). Conclusion: Since the different constituent ratio of disease between daytime and night gynecological emergency ultrasound was significantly different, and the diagnostic accuracy of ultrasound at night was low; hence, the ultrasound doctor at night should pay attention to improve the accuracy of diagnosis and the ability of differential diagnosis of ectopic pregnancy, and it is suggested that some suspected cases during the night should be reexamined again in the daytime to eliminate the errors resulted from subjective factors.
机译：背景：超声检查是妇科急诊的首选辅助检查方法和鉴别诊断工具，可以反映白天和晚上妇科疾病的变化模式。本研究的目的是在白天和晚上通过妇科急诊超声分析疾病，并评估超声诊断准确性的昼夜差异。资料与方法：对广西医科大学附属第一医院妇科急诊超声2016年临床资料进行回顾性分析，将超声诊断结果与临床诊断进行比较。结果：白天和晚上，以下类别的妇科急诊疾病的组成比具有统计学差异（P 0.05）。超声诊断的总体符合率为96.3％（白天为97.9％;晚上为86.4％）。白天和晚上异位妊娠超声诊断的符合率分别为96.4％和75.4％。差异具有统计学意义（P <0.001）。结论：由于白天和夜间妇科急诊超声不同的疾病构成比存在明显差异，夜间超声的诊断准确性较低;因此，夜间超声医生应注意提高异位妊娠的诊断准确性和鉴别诊断能力，建议夜间应重新检查一些可疑病例，以消除因异位妊娠引起的错误。主观因素。

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