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作 者:孔博 张璟 吕珂 Kong Bo;Zhang Jing;Lyu Ke(Department of Ultrasound,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)
机构地区:[1]中国医学科学院,北京协和医学院,北京协和医院超声医学科,100730
出 处:《中华疝和腹壁外科杂志(电子版)》2025年第1期31-34,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基 金:国家自然科学基金(82171968)。
摘 要:目的评估腹外疝患者术前超声的病变检出率和超声报告完整率,分析其术前超声报告的质量并探究改进措施。方法回顾性分析2023年1—12月在北京协和医院接受手术治疗的腹外疝患者的临床、超声检查资料和手术记录,以手术诊断为金标准,评估腹外疝术前超声的病变检出率,并以是否提示腹股沟疝类型、疝囊颈宽度及疝囊的活动度评估报告质量。结果研究共纳入接受手术治疗的腹外疝患者112例,其中腹股沟疝98例,腹壁疝14例。腹股沟疝超声病变检出率为95.9%,超声报告完整率为14.3%。腹壁疝超声病变检出率为100.0%,超声报告完整率为50.0%。结论超声对腹外疝诊断具有较高的检出率,并可显示腹外疝的位置、大小、疝囊颈宽度、疝的活动度、以及与周围组织的关系等,应在报告中对这些信息进行更全面的提示,以辅助临床决策和治疗。Objective To evaluate the lesion detection rate and completeness rate of the preoperative ultrasonic diagnosis in patients with external abdominal hernia,and to analyze the quality of preoperative ultrasonic reports,thereby exploring potential improvement measures.Methods We conducted a retrospective analysis of clinical data,ultrasonic examination results,and surgical records from patients with external abdominal hernias who underwent surgery at Peking Union Medical College Hospital from January to December 2023.With intraoperative diagnosis as the gold standard,the lesion detection rate were evaluated,and the quality of the reports was evaluated based on whether they indicated the type of inguinal hernia,the width of the neck of the hernia sac and its mobility.Results A total of 112 patients with surgically treated external abdominal hernias were included in the study,comprising 98 cases of inguinal hernia and 14 cases of abdominal wall hernia.The preoperative ultrasonic lesion detection rate of inguinal hernia was 95.9%,and the completeness rate of the ultrasound report of inguinal hernia was 14.3%.The preoperative ultrasonic lesion detection rate of ventral hernia was 100.0%,and the completeness rate of the ultrasound report of ventral hernia was 50.0%.Conclusion Ultrasound demonstrates a high detection rate for external abdominal hernias,effectively providing information regarding location,size,neck width of the hernia sac,mobility characteristics and relationships with surrounding tissues.Consequently,it is recommended that more comprehensive information be included in ultrasound reports to assist clinicians in making decisions and treatment.
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