彩色高频超声在腹股沟疝鉴别诊断中的临床价值

The clinical value of high frequency ultrasonography in inguinal hernia

目的探讨高频超声在腹股沟疝诊断及鉴别诊断中的临床价值。方法利用彩色高频超声对108例腹股沟区及阴囊包块患者分别进行站立位、平卧位扫查,配合屏气,观察肿块的形态、大小、内部结构及随体位呼吸运动变化的情况,并将检查结果与手术结果对照。结果101例诊断为腹股沟疝,3例为交通性鞘膜积液,2例为精索鞘膜积液,1例为隐睾,1例为睾丸扭转;手术结果隐睾1例存在漏诊,为隐睾合并腹股沟斜疝。超声诊断准确率为99.1%,漏误诊率为0.9%。结论彩色高频超声对腹股沟疝的诊断和鉴别诊断有极高的临床价值,可作为临床常规检查方法。

Objective The purpose of the present study was to discuss the clinical value of high frequency ultrasonography in inguinal hernia. Methods 108 patients with masses at inguinal region or in scrotum were involved in the study. The patients were scanned with ultrasonography at inguinal region in standing position or/and in supine position with or without breath holding. The shapes, sizes, structures and the changes with the posture and respiratory movement of the mass were observed and compared with the surgical results. Results Of the 108 patients, 101, 3, 2, 1 and 1 cases were diagnosesed as inguinal hernia, communicating hydrocele, hydrocele of the spermatic cord, cryptorchidism and testicular torsion. The diagnostic accuracy of ultrasonography is 99%. Conclusion It is effective to diagnosis inguinal hernia with high frequency ultrasonography.