探究多排螺旋CT对腹股沟疝患者的影像鉴别与诊断价值。

回顾性分析2015年3月至2019年3月，安徽省第二人民医院（黄山路院区）收治的86例成年男性腹股沟疝患者的临床资料及多排螺旋CT图像，以手术结果为金标准进行价值分析。观察腹股沟疝的发生侧别及类型；分析多排螺旋CT对腹股沟疝的诊断价值，观察腹股沟疝的影像学征象。

86例患者共有104个疝囊。多排螺旋CT诊断斜疝的灵敏度为95.35%、特异度为94.12%；直疝的灵敏度为94.12%、特异度为95.35%。斜疝82个（95.34%）疝囊位于腹壁下动脉外侧，且腹股沟管内环扩大；所有疝囊均无股三角填塞，且位于腹股沟韧带前方，无侧新月征。直疝疝囊均位于腹壁下动脉内侧，且腹股沟管内环正常，无股三角填塞，位于腹股沟韧带前方；14个（82.35%）有侧新月征。股疝疝囊位于腹壁下动脉的后下方，腹股沟管内环正常，股三角填塞，位于腹股沟韧带后方，无侧新月征。

多排螺旋CT可显示腹股沟区解剖细节，可提高斜疝、直疝患者的诊断准确率。在体格检查、彩色多普勒超声检查等基础上进行多排螺旋CT检查，对斜疝和直疝的鉴别有较高的诊断价值。

To explore the value of multi-slice spiral CT in the diagnosis of inguinal hernia.

The clinical data and multi-slice spiral CT images of 86 adult male inguinal hernia patients admitted to Anhui No.2 provincial people's hospital from March 2015 to March 2019 were retrospectively analyzed. The surgical results were used as the gold standard for value analysis to observe the location and type of inguinal hernia. The diagnostic value of multi-slice spiral CT in inguinal hernia was analyzed. To observe the imaging signs of inguinal hernia.

There were 104 hernial sacs in 86 patients. The sensitivity and specificity of multi-slice spiral CT in diagnosing indirect hernia were 95.35% and 94.12%, respectively. The sensitivity and specificity of direct hernia were 94.12% and 95.35%, respectively. 82 cases (95.34%) of the hernias were located outside the inferior epigastric artery as indirect hernia, and the internal ring of the inguinal canal was enlarged; All the hernias were not filled with trigonal femoral plug, and were located in front of the inguinal ligament, without the sign of lateral crescent. The sac of the direct hernias were located inside the inferior epigastric artery, the internal ring of the inguinal canal was normal, without trigonal filling, and located in front of the inguinal ligament; 14 cases (82.35%) had lateral crescent sign. The hernial sac was located in the posterior lower part of the inferior abdominal artery, the inner ring of the inguinal canal was normal, the femoral triangle was filled, and it was located behind the inguinal ligament without the sign of lateral crescent.

Multi-slice spiral CT can show anatomical details of the inguinal region, improve the diagnostic accuracy of patients with indirect and direct hernia. On the basis of physical examination and color ultrasound examination, multi-slice spiral CT examination is of high diagnostic value in the identification of indirect hernia and direct hernia.