超声在腹壁疝无张力修补术后常见并发症诊断中的应用

The application of ultrasound in the diagnosis of the common complication after abdominal wall hernia tension-free revision

目的探讨彩色多普勒超声对腹壁疝无张力修补术后常见并发症的应用价值。方法对103例腹壁无张力疝修补术后出现身体不适或局部异常体征等临床表现的患者进行灰阶、彩色多普勒和频谱多普勒超声检查,观察切口下及其周围组织有何异常。结果切口血肿5例,感染11例,补片弯曲10例,复发2例,术后积液55例,脂肪液化3例,精索水肿10例,超声表现阴性7例,超声检测阳性率93.2%,均经临床或穿刺证实。结论彩色多普勒超声对腹壁疝无张力修补术后并发症的诊断具有较高的应用价值。

Objective To discuss the value of Color Doppler ultrasound in the common complication of abdominal wall hernia ten-sion-free revision. Methods 103 patients with clinical symptom after abdominal wall hernia tension-free revision underwent gray scale, CDFI and Pulse Doppler ultrasound ,and obversed the abnormal under the incision and the surrounding tissue. Results There was incision hematoma in 5 cases, infection in 11 eases, patch bending in 10 cases, relapse in 2 cases, postoperative effusion in 55 cases, fat liquefac-tion in 3 cases, permatic cord edema in 10 cases, ultrasonography negative in 7 eases. The positive rate of ultrasound was 93.2%.All cases were confirmed by clinic or puncture. Conclusion It has high application value of ultrasound in the diagnosis of the common complication after abdominal wall hernia tension-free revision.