摘要
目的探讨彩超高频探头双体位扫查在腹股沟疝诊断中的作用,并对该类病变的影像学特征进行分析。方法回顾性分析2019年1月至2022年1月在庐江县人民医院普外科接受腹股沟疝手术治疗的90例患者的资料。依据彩超诊断方法分组,42例低频探头联合双体位扫查者为对照组,48例高频探头联合双体位扫查者为观察组。描述2组患者的手术结果分布情况。以患者的手术结果作为金标准,分析2组患者的腹股沟疝及其合并症的诊断准确率。描述腹股沟疝的超声声像图特征。结果2组患者的手术结果显示,共有直疝20例,斜疝52例,斜疝合并直疝14例,股疝4例,2组的腹股沟疝分布情况差异无统计学意义(P>0.05)。观察组腹股沟疝整体诊断准确率高于对照组(P<0.05),在各类腹股沟疝中,观察组斜疝诊断准确率高于对照组(P<0.05),2组直疝、斜疝合并直疝、股疝的诊断准确率差异无统计学意义(P>0.05)。观察组腹股沟疝合并症的整体诊断准确率高于对照组(P<0.05),2组患者单纯性腹股沟疝、合并精索脂肪瘤、合并鞘膜积液的诊断准确率差异无统计学意义(P>0.05)。结论腹股沟疝应用高频彩超和低频彩超配合不同体位扫描,均可取得良好的检测效果,而高频彩超对腹股沟疝及其各类合并症的诊断准确性更好,临床可依据现实情况选择使用。
Objective To explore the role of color high-frequency probe combined with dual position scanning in the diagnosis of inguinal hernia,and to analyze the imaging characteristics of such lesions.Methods The data of 90 patients who underwent inguinal hernia surgery in the Department of General Surgery of Lujiang County People's Hospital from January 2019 to January 2022 were retrospectively analyzed.According to different color ultrasound diagnosis methods,the patients were divided into two groups:42 patients with low-frequency probe combined with dual position scanning as the control group,and 48 patients with high-frequency probe combined with dual position scanning as the observation group.The distribution of surgical results in the 2 groups was described.With the surgical results of the patients as the gold standard,the diagnostic accuracy of inguinal hernia and complications of the two groups was analyzed.The ultrasonographic features of inguinal hernia were described.Results The surgical results of the two groups showed that there were 20 cases of direct hernia,52 cases of indirect hernia,14 cases of indirect hernia combined with direct hernia,and 4 cases of femoral hernia.There was no statistical difference in the distribution of inguinal hernia between the two groups(P>0.05).The overall diagnostic accuracy in the observation group was higher than that in the control group(P<0.05).In the classification of various inguinal hernias,the diagnostic accuracy of indirect hernia in the observation group was higher than that in the control group(P<0.05).There was no statistically significant difference in the diagnostic accuracy of direct hernia,indirect hernia combined with direct hernia,and femoral hernia between the two groups(P>0.05).The overall diagnostic accuracy of inguinal hernia complications in the observation group was higher than that in the control group(P<0.05).There was no statistical difference in the diagnostic accuracy of simple inguinal hernia,combined with spermatic lipoma and combined with hydrocele between the two groups(P>0.05).Conclusion Both high-frequency color ultrasound and low-frequency color ultrasound combined with different body scanning position can achieve good detection results for inguinal hernia.High-frequency color ultrasound is more accurate in diagnosing inguinal hernia and its complications.It can be selected according to the actual situation in clinical practice.
作者
洪珊珊
王礼才
Hong Shanshan;Wang Licai(Department of Ultrasound,Lujiang County People's Hospital,Hefei 231500,Anhui,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2023年第1期87-90,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
合肥市卫健委应用医学研究重点项目(hwk2021zd022)
关键词
彩色多普勒超声检查
疝
腹股沟
高频探头
诊断
Color Doppler ultrasonography
Hernia,inguinal
High-frequency probe
Diagnosis
作者简介
通信作者:洪珊珊,Email:84964688@qq.com
