气腹造影MSCT在隐匿性腹股沟疝诊断中的应用研究  

CLINICAL VALUE OF USING PNEUMOPERITONEUM MULTI-SLICE SPIRAL CT TO DIAGNOSE LATENT INGUINAL HERNIA

作　　者：王维青 张升文 

机构地区：[1]临沂市第三人民医院,山东临沂276023 [2]山东医学高等专科学校附属医院

出　　处：《山东医学高等专科学校学报》2016年第6期430-432,共3页Journal of Shandong Medical College

基　　金：临沂市科技发展计划(No.201616093)

摘　　要：目的 探讨气腹造影MSCT检查对隐匿性腹股沟疝的临床诊断价值。方法 对临床拟诊断为腹股沟疝的32例患者,先行彩照检查,再实施气腹造影后MSCT扫描检查,分析影像特点,并与手术结果进行对照分析。结果 经手术证实,临床拟诊断为腹股沟疝的32例患者中,彩超检查确诊19例,确诊率为59.38%（19/32）;气腹造影MSCT检查确诊31例,确诊率为96.88%。彩超检查与气腹造影MSCT检查相比,气腹造影MSCT检查确诊率明显高于彩超检查（χ^2=13.17,P〈0.01）。结论 气腹造影MSCT对隐匿性腹股沟疝的诊断具有重要的临床意义,较彩超检查更具临床诊断价值。Objective To explore the clinical value of using pneumoperitoneum multi‐slice spiral CT to diagnose latent inguinal hernia .Methods 32 patients with suspicious inguinal hernia underwent ultrason‐ography and pneumoperitoneum multi‐slice spiral CT （MSCT） to compare the imaging results and the opera‐tive results .Results According to the operative results , 19 cases （59 .38% ） had their inguinal hernia confirmed by ultrasonography ,and 31 cases （96 .88% ） had their inguinal hernia confirmed by pneumoperitoneum MSCT .There existed significant difference in the confirming rate between using ultrasonography and pneumoperitoneum MSC（χ^2 =13 .17 ,P 〈0 .01） .Conclusion pneumoperitoneum MSCT can have more di‐agnostic value than ultrasonography in confirming inguinal hernia .

关 键 词：隐匿性疝 腹股沟 多层螺旋CT 疝囊充气造影 

分 类 号：R445[医药卫生—影像医学与核医学]