探讨彩色多普勒超声对小儿腹股沟疝的诊断功效。

回顾性分析2017年3月至2020年3月于内蒙古包钢医院就诊的腹股沟疝患儿的彩色多普勒超声检查结果。患儿入院后首先完成常规的外科查体检查，之后进行彩色多普勒超声检查。描述手术探查结果，分析彩色多普勒超声对小儿腹股沟疝的诊断效能。

共140例患儿纳入研究，其中男性患儿129例，女性患儿21例，平均年龄（7.65±4.34）岁，病灶左侧44例，右侧82例，双侧14例。140例患儿中，易复性疝占据比例最高，共122例（87.14%）。在患儿的疝内容物中，以肠管的比例最高，达到72.86%。利用彩色多普勒超声对全部患儿的探查结果显示，腹股沟疝的正确检出率总体上为98.57%，其中易复性疝的检出准确率为98.36%，难复性疝、嵌顿性疝、绞窄性疝的检出正确率均为100.00%，隐睾和睾丸下降不全诊断率为100%，鞘膜积液诊断率为100%，隐匿性疝诊断率为85.71%。

彩色多普勒超声在小儿腹股沟疝的诊断中表现出良好的准确性，尤其对于合并隐匿疝、睾丸下降不全和鞘膜积液的患儿，具有较高的实用价值。在实际工作中，需要综合考虑多种条件，对腹股沟疝的诊断及治疗方案制定提供依据。

To explore the diagnostic efficacy of color Doppler ultrasound for inguinal hernia in children.

A retrospective analysis of the results of color Doppler ultrasound examinations of children with inguinal hernias in Baogang Hospital in Inner Mongolia from March 2017 to March 2020. After the child was admitted to the hospital, the routine surgical examination was completed first, followed by color Doppler ultrasound. Describe the results of surgical exploration. Analyze the diagnostic efficacy of color Doppler ultrasound in children with inguinal hernia.

A total of 140 children were included in the study, including 129 boys and 21 girls, with an average age of (7.65±4.34) years. There were 44 cases of the lesionon the left side, 82 cases on the right side, and 14 cases on both sides. Among the 140 children, reducible hernias accounted for the highest proportion, with 122 cases, accounting for 87.14%. Among the hernia contents of children, the proportion of intestinal was the highest, reaching 72.86%. The detection results of all children with color Doppler ultrasound showed that the correct detection rate of inguinal hernias was 98.57% in general. Among them, the detection accuracy of reducible hernias was 98.36%, and that of irreducible hernias, incarcerated hernias andstrangulated hernia were100%. The diagnostic rate of hydrocele was 100%. The diagnostic rate of cryptorchidism and undescended testis was 100%, and the diagnostic rate of occult hernia in children was 85.71%.

Color Doppler ultrasound shows good accuracy in the diagnosis of inguinal hernia in children, and has high practical value, especially for children with occult hernia, undescended testis, and hydrocele. However, in actual work, various conditions need to be considered comprehensively to provide a basis for the diagnosis and treatment of inguinal hernia.