多层螺旋CT在腹壁疝临床诊断中的价值

Diagnostic value of multi-slice spiral computerized tomography in ventral hernia

目的：探讨多层螺旋CT在腹壁疝诊治中的价值与意义。方法回顾性分析2012年3月至2014年3月，河北省玉田县医院收集的经手术证实的腹壁疝患者25例。术前均进行螺旋CT检查。观察腹壁疝的部位、疝囊大小、疝内容物。结果本组25例腹壁疝患者中，切口疝例3，腹股沟斜疝14例，腹股沟直疝6例，造口疝2例。疝囊直径-5 cm 11例，-10 cm 9例，＞10 cm 5例。疝内容物多为大网膜、肠管与邻近组织器官。结论多层螺旋CT可清楚显示腹壁疝的部位、大小与疝内容物，是诊断腹壁疝的有效检测方法，为开展手术治疗提供准确依据，保障手术顺利进行。

Objective To investigate clinical diagnostic value of computerized tomography （CT） examination for ventral hernia.Methods A total of 25 patients with ventral hernia which were confirmed by operations in Hebei Yutian Hospital from March 2012 to March 2014,were enrolled into the retrospective analysis.All patients received perioperative CT scan.The position of ventral hernia,size of sac and content of hernia were observed.Results In these case series,the results revealed that there were 3 cases of incisional hernia,14 cases of indirect inguinal hernia,6 cases of direct inguinal hernia and 2 cases of parastomal hernia. Hernia sac diameter 〈5 cm in 1 1 cases,5 to 10 cm in 9 cases,and 〉10 cm in 5 cases.The hernia contents were mostly the greater omentum,intestinal and adjacent tissue and organs.Conclusions Multi-slice spiral CT can clearly show the site,size and content of the ventral hernia.It is an effective examination for diagnosis of ventral hernia,providing accurate information for surgeon to ensure the operation plain sailing.