高频彩色多普勒超声诊断股疝的临床价值  

The Value of High-frequency Color Doppler Ultrasonography in the Diagnosis of Femoral Hernia

作　　者：陈国萍[1] 房仲平 

机构地区：[1]广安市人民医院B超室,四川广安638000 [2]广安市人民医院普外科,四川广安638000

出　　处：《华西医学》2015年第2期300-302,共3页West China Medical Journal

摘　　要：目的探讨高频彩色多普勒超声在股疝诊断中的价值。方法回顾性分析2008年3月-2013年10月收治的37例共39侧股疝的彩色多普勒超声检查结果,并与手术结果对照,总结其声像图表现特征。结果手术诊断股疝39侧,右侧19例,左侧16例,双侧2例;37侧超声诊断为股疝,超声误诊2侧病变(1侧误诊为脂肪瘤,1侧误诊为肿大的淋巴结),超声诊断符合率为94.9%(37/39)。手术可见疝内容物28侧(17侧为小肠,4侧为大网膜,2侧为积液,3侧为大网膜伴小肠,2侧为大网膜或小肠伴积液),其中超声对疝内容物判断正确24侧(15侧为小肠,3侧为大网膜,2侧为大积液,2侧为大网膜伴小肠,2侧为大网膜或小肠伴积液),超声对疝内容物诊断符合率为85.7%(24/28)。结论高频彩色多普勒超声对股疝的诊断有重要临床价值,可作为首选的影像学检查方法。Objective To evaluate the value of high-frequency color Doppler ultrasonography in the diagnosis of femoral hernia. Methods The ultrasonographic features of 39 femoral hernias in 37 patients treated between March 2008 and October 2013 were retrospectively analyzed, and the results were confirmed by surgery. Results Thirty-nine femoral hernias were diagnosed by surgery, including 19 in the right side, 16 in the left side, and 2 with double-side hernias. Thirty- seven femoral hernias were diagnosed with ultrasonography. Two femoral hernias were misdiagnosed as lipoma in one, and as enlarged lymph nodes in one, respectively. Ultrasound diagnosis accurate rate was 94.9% （37/39）. Hernia content could be seen through surgery in 28 cases, and the ultrasound accurate rate in assessing the hernia content was 85.7% （24/28）. Conclusion Ultrasonography is the first choice for improving the diagnosis efficacy of femoral hernia.

关 键 词：股疝 高频彩色多普勒超声 超声诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R656.2[医药卫生—诊断学]