超声自动全容积扫查系统在腹股沟疝诊断价值研究  

Value of ultrasound automatic full volume scanning system in diagnosis of inguinal hernia

作　　者：高立霓[1] 刘秉彦[1] 孙阳 Gao Lini;Liu Bingyan;Sun Yang(Department of Ultrasound,Hainan Provincial People's Hospital,Haikou 570311,China;the Affiliated Hospital of Nankai University,Tianjin 300222,China)

机构地区：[1]海南省人民医院超声科,海口570311 [2]南开大学附属医院,天津300222

出　　处：《中华疝和腹壁外科杂志（电子版）》2020年第6期651-654,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的腹股沟疝应用超声自动全容积扫查系统(AVSS)诊断价值分析。方法选取2017年1月至2018年5月就诊于海南省人民医院100例疑似腹股沟疝患者的资料。按照患者使用的诊断设备不同,分为传统超声组(对照组)和AVSS组(研究组)。分析研究组疝口径、2组诊断准确率、疝各类型准确率及不同年资医师的诊断情况。采用SPSS 20.0统计学软件进行数据处理。结果对照组测量患者的平均疝口宽径为(14.85±5.95)mm、长径为(16.24±6.15)mm;研究组测量疝口宽径为(14.51±5.28)mm、长径为(16.18±6.63)mm,2组疝口径比较,差异有统计学意义(P>0.05)。研究组诊断准确率为92.00%,对照组诊断准确率为82.00%,研究组准确率比对照组高,差异有统计学意义(P<0.05)。研究组低年资医师对斜疝、直疝等各类型诊断准确率分别为92.86%、86.36%及91.00%等,比对照组80.00%、54.55%、71.00%高,差异有统计学意义(P<0.05)。2组高年资医师各个类型的诊断准确率,差异有统计学意义(P>0.05)。结论腹股沟疝应用AVSS诊断的准确性较高,能清晰显示疝口内径及类型,其中低年资医师操作准确性高于常规超声检查,可结合实际优先选择AVSS,对腹股沟疝各类型诊治具有积极意义。Objective To analyze the diagnostic value of automatic ultrasonic full-volume scanning system for inguinal hernia.Methods The clinical data of 100 patients with inguinal hernia diagnosed and treated in Hainan provincial people's hospital from January 2017 to May 2018 were enrolled.The patients diagnosed by traditional ultrasound were set as the control group and those diagnosed by automatic ultrasound full-volume scanning system as the study group.The hernia width and length,diagnostic accuracy,diagnostic accuracy for various types of hernia,and accuracy of diagnosis by physicians of different seniorities were compared between the two groups.Results The width and length of hernia were(14.85±5.95)mm and(16.24±6.15)mm in the control group,and were(14.51±5.28)mm and(16.18±6.63)mm in the study group,respectively.And the differences between the two groups were not statistically significant(P>0.05).The diagnostic accuracy in the study group was 92.00%,higher than that in the control group,which was 82.00%(P<0.05).The diagnostic accuracy of various types of hernia such as indirect hernia and direct hernia,etc.in the study group was 95.71%,86.36%and 91.00%,respectively,higher than the control group where the data were 80.00%,54.55%and 71.00%,and the differences were statistically significant(P<0.05).The accuracy of diagnosis for different types of hernia made by physicians of different seniorities showed no statistically significant difference between the two groups(P>0.05).Conclusion Ultrasonic automatic full-volume scanning system(AVSS)is accurate in diagnosis of inguinal hernia and can clearly show the size and type of hernia.The accuracy of diagnosis with automatic ultrasound full-volume automatic scanning system made by younger physicians is higher than that with conventional ultrasound.Therefore,based on the actual situations,automatic ultrasound full-volume scanning system should be prioritized since it is with positive significance for the diagnosis and treatment of various types of inguinal hernia.

关 键 词：疝 腹股沟 超声自动全容积扫查系统 疾病类型 诊断价值 

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]