三例腹股沟疝患者疝囊充气造影螺旋CT检查的诊断价值  

Evaluating the diagnostic value of pneumoperitoneography with spiral CT examination in patients with inguinal hernia(a report of three cases)

作　　者：蔡晓军[1] 周卫华[2] 叶道斌[3] 韩承新[1] 段亮[1] 曹策[1] 

机构地区：[1]武警总医院普通外科,北京100039 [2]武警总医院核医学科,北京100039 [3]武警总医院CT科,北京100039

出　　处：《中华疝和腹壁外科杂志（电子版）》2010年第2期81-83,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨疝囊充气造影螺旋CT检查对腹股沟疝的诊断价值。方法对2例腹股沟斜疝和1例膀胱滑疝患者,实施气腹造影螺旋CT扫描检查,分析影像特点,进行术前预判。结果2例腹股沟斜疝清晰显示出卵圆形充气疝囊以及疝囊颈的大小和长度等特征。1例膀胱滑疝见部分膀胱组织突向疝囊内,无充气疝囊显示。所有患者影像结果和手术所见完全一致。结论气腹疝囊造影螺旋CT检查不必待疝内容物充填疝囊后即可作出临床诊断,较传统的液体疝囊造影,敏感性好且干扰少,成像质量高,有助于术前疝分型的规范判别,并有望在早期疝,隐匿性疝等缺乏明确体征患者的诊断中发挥独特的作用。Objective To evaluate the diagnostic value of pneumoperitoneography with spiral CT examination for inguinal hernia.Methods Two patients with indirect inguinal hernia and one patient with sliding hernia of urinary bladder were performed pneumoperitoneography with spiral CT examination.The imaging characteristics were analyzed.Results Oval hernial sac filling air and characteristics of hernial sac neck were clearly demonstrated in two patients with inguinal hernia.Partial urinary bladder protruded into hernial sac without filling air was shown in the patient with sliding hernia of urinary bladder.The imaging appearances were coincident with the operation results.Conclusions Pneumoperitoneography with CT examination is helpful to diagnose inguinal hernia without hernial content filling hernia sac.Compared with traditional fluid herniography,pneumoperitoneography has the advantage of good sensitivity and high imaging quality.Pneumoperitoneography is helpful to type hernia and diagnose early hernia and insidious hernia in patients without obvious physical signs.

关 键 词：疝 腹股沟 体层摄影术 螺旋计算机 疝囊充气造影 影像诊断 

分 类 号：R656.2[医药卫生—外科学] R816.5[医药卫生—临床医学]