彩超高频探头双体位扫查在腹股沟诊断中检测率及诊断特点分析  

Detection Rate and Diagnostic Features of Combined Color Doppler Ultrasound High-frequency Probe with Two-position Scanning for Inguina

作　　者：臧芳 欧阳卓静 

机构地区：[1]广东省开平市中医院,529300

出　　处：《现代医用影像学》2017年第3期622-624,628,共4页Modern Medical Imageology

摘　　要：目的:分析在腹股沟诊断中应用彩超高频探头双体位扫查的检测率及诊断特点。方法:选取本院2014年1月-2016年9月诊治腹股沟包块192例患者临床资料进行分析,按照临床诊断所用不同方法与体位选择分成3组,将应用彩超低频探头和患者卧位扫查64例患者设为对照1组,将应用彩超高频探头和患者卧位扫查64例患者设为对照2组,将应用彩超高频探头和患者立、卧位双体位扫查64例患者设为观察组,对三组检测率及诊断特点予以对比及分析。结果:观察组检测率100.00%,均比对照1组50.00%与对照2组71.11%高(P<0.05);临床将彩超应用于腹股沟诊断中可对疝内容物性质、血管与肠管蠕动等情况进行清晰反映。易复性疝超声表现为:肠壁层次较清晰,正常厚度,血运未发生改变,且腹股沟与阴囊层次显示正常;难复性疝超声表现为内容物有小肠、大网膜,疝囊内存在少许渗出液;嵌顿绞窄疝内容物体积过大,难以回纳,肠壁蠕动消失僵硬,周边液性无回声增多。结论:在腹股沟诊断中应用彩超高频探头双体位扫查价值较高,能够提高检测率,明确疾病具体诊断特点,为临床治疗方法选择提供依据,具有临床推广及应用价值。Purpose： To analyze the detection rate and diagnostic features of color Doppler ultrasound high-frequency probe combined with two-position scanning in the diagnosis of inguina. Methods Results Conclusion Materials and Methods： The clinical data of 192 patients with inguinal mass who had received treatment in our hospital between January 2014 and September 2016 were analyzed. The patients were divided into 3 groups according to the position and different methods used in clinical diagnosis： the 64 patients given color Doppler ultrasound low-frequency probe and decubitus position scanning were taken as control group 1,the 64 given color Doppler ultrasound high-frequency probe and decubitus position scanning as the control group 2,and the other 64 given color Doppler ultrasound high-frequency probe and decubitus and orthostatic two-position scanning as observation group. The detection rate and diagnostic features in the three groups were compared and analyzed. Results： Detection rate in the observation group was 100. 00%,higher than that of control group 1 and control group 2,which was respectively 50. 00% and 71. 11%（ P 〈 0. 05）; the nature of inguinal hernia content,blood vessels and intestinal peristalsis could be clearly seen through color Doppler ultrasound. Ultrasound findings of reducible hernia： the intestinal wall was clearly layered,with normal thickness,and no change was seen in blood flow,and inguinal and scrotal layers were normal; ultrasound findings of irreducible hernia showed that there were small intestine and omentum hernia in the contents,exudate was present in the hernial sac; the contents of Incarcerated-strangulated inguinal hernia was voluminous,difficult for retraction,and gastric wall was stiff,peristaltic wave disappeared,and periphery fluid echoless area was enlarged. Conclusion： For the diagnosis of inguina,color Doppler ultrasound high-frequency probe combined with two-position scanning is of high value,which can improve the detection rate,identify its specific diagnost

关 键 词：腹股沟 彩色多普勒超声 探头 体位 特点 

分 类 号：R445.1[医药卫生—影像医学与核医学] R656.21[医药卫生—诊断学]