对比分析全自动超声容积断层扫描（ultrasonic volume auto-scan，UVAS）与传统超声在腹外疝诊断中的临床价值，为腹外疝的诊治及预后提供依据。

回顾性分析2015年1月至2016年7月，湖北省十堰市妇幼保健院诊断考虑腹外疝120例患者的临床资料。分别行UVAS与传统超声检查，通过对观察部位的立体结构、还纳路径、具体位置、疝囊以及疝内容物等进行分析判断并分型，将2种检查方法的术前、术后诊断结果进行对比分析。

UVAS对可复性腹股沟疝诊断的正确率72.2%略低于传统超声82.2%，差异无统计学意义（χ²=2.74，P>0.05）；UVAS对难复性腹股沟疝诊断的正确率100%高于传统超声检查66.7%，差异有统计学意义（χ²=5.34，P<0.05）；UVAS对腹壁切口疝诊断的正确率100%高于传统超声检查61.8%，差异有统计学意义（χ²=6.28，P<0.05）。

UVAS为临床工作者诊断腹外疝提供了三维立体图像，与传统超声检查相比具有更好的临床价值。

To compare and analyze the clinical value of Ultrasonic Volume Auto-scan (UVAS) and traditional ultrasound in the diagnosis of abdominal external hernia, so as to provide evidence for the diagnosis and prognosis of abdominal hernia.

A retrospective analysis was conducted on 120 patients who was considered the diagnosis of abdominal hernia patients in Maternal and Child Health Hospital of Shiyan from January 2015 to July 2016. UVAS and conventional ultrasonography were performed, respectively. The parts of the three-dimensional structure, retraction path, specific location, hernia sac and hernia contents were analyzed to determine the type of the hernia. Preoperative and postoperative diagnosis results of the two examination methods were compared and analyzed.

Compared with traditional ultrasound, UVAS had advantages in diagnosing and typing abdominal external hernia, especially for abdominal wall incisional hernia and irreducible inguinal hernia, because it could display coronal images of tissues.

UVAS provides three-dimensional images for clinical workers to diagnose abdominal external hernia. Compared with traditional ultrasound examination, it has better clinical value and is worthy of further promotion.