高频彩色多普勒超声诊断腹股沟斜疝的价值  

The value of high-frequency color Doppler ultrasound in the diagnosis of indirect inguinal hernia

作　　者：韩清月 陈淑娟 李书勤 Han Qingyue;Chen Shujuan;Li Shuqin(Color Ultrasound Room,Xinmi Hospital of Traditional Chinese Medicine,Zhengzhou 452370,China)

机构地区：[1]新密市中医院彩超室,郑州452370

出　　处：《实用医技杂志》2025年第4期283-286,共4页Journal of Practical Medical Techniques

摘　　要：目的探讨高频彩色多普勒超声诊断腹股沟斜疝的价值。方法回顾性收集2022年2月至2024年2月新密市中医院收治的78例实施外科手术治疗的腹股沟斜疝患者的临床资料,所有患者均于术前行高频彩色多普勒超声检查,将手术结果视为金标准,分析腹股沟斜疝使用高频彩色多普勒超声联合诊断的诊断效能。结果经手术结果证实,78例腹股沟斜疝患者中,有48例为易复性疝,占61.5%;16例为难复性疝,占20.5%;9例为嵌顿性疝,占11.5%;5例为绞窄性疝,占6.4%。高频彩色多普勒超声诊断腹股沟斜疝分型的总准确度为87.2%,其中易复性疝、难复性疝、嵌顿性疝、绞窄性疝准确度分别为93.6%、89.7%、92.3%、98.7%;灵敏度分别为91.7%、81.3%、77.8%、80.0%;特异度分别为96.7%、91.9%、94.2%、100.0%。高频彩色多普勒超声诊诊断腹股沟斜疝分型与手术结果的一致性较好(Kappa=0.778,P<0.001)。结论高频彩色多普勒超声对腹股沟斜疝的分型的具有一定诊断价值,对临床治疗方案制定有重要指导意义。Objective To explore the value of high-frequency color Doppler ultrasound in the diagnosis of indirect inguinal hernia.Methods A retrospective analysis was conducted to collect clinical data of 78 patients with indirect inguinal hernia who underwent surgical treatment at Xinmi Hospital of Traditional Chinese Medicine from February 2022 to February 2024.All patients underwent high-frequency color Doppler ultrasound examination before surgery,and the surgical results were regarded as the gold standard.The diagnostic efficacy of using high-frequency color Doppler ultrasound combined with diagnosis of indirect inguinal hernia was analyzed.Results The surgical results confirmed that among the 78 patients with indirect inguinal hernia,48 cases were prone to recurrent hernia,accounting for 61.5%.Sixteen cases of refractory hernia,accounting for 20.5%.Nine cases were incarcerated hernias,accounting for 11.5%.Five cases were strangulated hernias,accounting for 6.4%.The overall accuracy of high-frequency color Doppler ultrasound in diagnosing indirect inguinal hernia classification was 87.2%,with accuracies of 93.6%,89.7%,92.3%,and 98.7%for easily recurrent hernia,difficult recurrent hernia,incarcerated hernia,and strangulated hernia,respectively.The sensitivities were 91.7%,81.3%,77.8%,and 80.0%,respectively.The specificity was 96.7%,91.9%,94.2%,and 100.0%,respectively.The consistency between high-frequency color Doppler ultrasound diagnosis of indirect inguinal hernia classification and surgical results was good(Kappa=0.778,P<0.001).Conclusion High-frequency color Doppler ultrasound has certain diagnostic value for the classification of indirect inguinal hernia and has important guiding significance for the development of clinical treatment plans.

关 键 词：疝 腹股沟 超声检查 多普勒 彩色 诊断 

分 类 号：R65[医药卫生—外科学]