腹股沟区不典型包块彩色多普勒超声应用价值  

Value of color Doppler ultrasound diagnosis in groin area atypical mass

作　　者：唐华[1] 郭瑞君[1] 蒋鹏程[1] 董建红[1] 赵鸿雁[1] 郝磐石[1] 王志会[1] 

机构地区：[1]首都医科大学附属北京朝阳医院西院超声医学科,100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第4期290-292,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨彩色多普勒超声在腹股沟区不典型包块诊断及鉴别诊断中的临床价值。方法 2013年1月至2017年4月,对首都医科大学附属北京朝阳医院西院30例不典型腹股沟包块病例进行彩色多普勒图像及临床资料进行回顾分析。结果 30例不典型腹股沟包块中7例腹股沟脂肪斜疝;1例左侧腹股沟精索囊肿斜疝;4例腹股沟血管瘤;3例腹股沟疝手术粘连物部分留置;1例超声诊断右腹股沟圆韧带囊肿,手术证实为前次腹股沟疝手术误将输卵管伞段结扎并发积液;1例腹股沟疝硬化剂治疗后复发再次手术后感染,超声诊断术后水肿渗出;5腹股沟疝硬化剂治疗后复发,腹股沟区不规则强回声后方巨大衰减;4例髋关节滑囊炎超声误诊为精索囊肿;1例腹股沟圆韧带子宫内膜异位病灶超声为描述性诊断;1例髂腰肌脓肿延至腹股沟区误诊为腹股沟疝;1例睾丸精索肿瘤,1例右侧精索炎性包块。结论通过对腹股沟区解剖结构的认识,加强对疾病临床、病理特点的认识,开拓思维,将声像学特征与临床病史结合起来,有助于提高腹股沟不典型包块的诊断及鉴别诊断,减少误、漏诊。Objective This paper aims to explore clinical value of color Doppler ultrasound in diagnosis and differential diagnosis of groin area atypical mass.Methods From January 2013 to April 2017, the color Doppler imaging and clinical data of 30 cases of atypical inguinal mass in Beijing Chao-Yang Hospital were analyzed retrospectively.Results Of 30 cases of atypical inguinal mass, 7 cases were indirect inguinal fat hernia;1 case of left indirect inguinal hernia with spermatic cord cyst, 4 cases of groin hemangioma, 3 cases of inguinal hernia surgical adhesions partial indwelling;1 case diagnosed as right round ligament cyst, was confirmed as groin area effusion following a previous hernia surgery to mistakenly ligature the fallopian tube umbrella section;1 case of infection following reoperation due to recurrence after inguinal hernia sclerotherapy, and the ultrasound showed postoperative edema;5 cases of hernia recurrence after inguinal hernia sclerotherapy, showed irregular strong echo behind a huge attenuation;4 cases of hip joint bursitis misdiagnosed as spermatic cord cyst;1 case of inguinal round ligament endometriosis with ultrasonography as descriptive diagnosi;1 case of iliopsoas abscess spread to the groin area misdiagnosed as inguinal hernia;1 case of testis/spermatic cord tumor, 1 case of right spermatic cord inflammatory mass.Conclusion Knowing more about the anatomical structure of the groin area, facilitates understanding of the clinical features and pathological features of the disease, is help to improve the diagnosis or differential diagnosis of inguinal atypical mass combined with imaging features and clinical history, thus reducing the misdiagnosis and missed diagnosis.

关 键 词：包块 腹股沟 多普勒超声检查 彩色 

分 类 号：R445.1[医药卫生—影像医学与核医学]