超声检查在腹股沟疝围手术期的应用价值

Value of perioperative ultrasonography in tension-free inguinal hernioplasty

目的探讨超声检查对腹股沟疝手术前后评估的价值。方法对30例32侧腹股沟疝患者于手术前后进行超声检查。术前观察内环位置、腹股沟管内径改变、疝囊大小及内容物并对腹股沟疝类型进行分类；术后观察补片位置、大小、形态及生物补片与四周组织的融合情况。结果在32例侧中，有20个斜疝、4个直疝、3个股疝术前的超声诊断与手术结果相符。术后1个月内超声检查发现，其中28个手术部位可探及正常生物补片、未见其他异常回声，2个见补片外血肿，1个见补片外复发疝及1个补片变形。结论在腹股沟疝手术前，通过超声检查能为临床医生提供腹股沟疝形态的详细参考数据并为腹股沟疝分类，为临床医生选择适合患者个体的生物补片提供了重要的客观依据。在腹股沟疝手术后，超声检查能观察生物补片的形态、位置及有无发生其他并发症。

Objective To evaluate the use of uhrasonography befor and after inguinal hernioplasty. Methods In 30 patients, 32 inguinal hernias were submitted to tension-free inguinal hernioplasty, ultrasonography was applied before the surgery and after one mother. Ultrasonography revealed the character of the hernia before the surgery and observed the situation of the mesh after the surgery. Results Diagnostic ultrasound detected 20 inguinal hernias,4 direct hernias, and 3 femoral hernias which were consistent with intraoperative findings. We identified 2 seromas, 1 recurrence of hernia and 1 folding mesh after hernia repair. Conclusion Uhrasonography is a useful examination in preoperative assessing inguinal hernia and demonstrating postoperative complications associated with mesh.