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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (02) : 169 -171. doi: 10.3877/cma.j.issn.1674-392X.2022.02.009

临床论著

高频超声在腹股沟疝修补术前诊断的准确性研究
周珊珊1,(), 王超1   
  1. 1. 241000 安徽芜湖,皖南医学院第二附属医院超声医学科
  • 收稿日期:2021-12-19 出版日期:2022-04-18
  • 通信作者: 周珊珊
  • 基金资助:
    芜湖市科技计划项目(2021卫生2-5)

Research the accuracy of high-frequency ultrasound in the preoperative diagnosis of inguinal hernia repair

Shanshan Zhou1,(), Chao Wang1   

  1. 1. Department of Ultrasound, The Second Affiliated Hospital of Wannan Medical University, Wuhu 241000, Anhui Province, China
  • Received:2021-12-19 Published:2022-04-18
  • Corresponding author: Shanshan Zhou
引用本文:

周珊珊, 王超. 高频超声在腹股沟疝修补术前诊断的准确性研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(02): 169-171.

Shanshan Zhou, Chao Wang. Research the accuracy of high-frequency ultrasound in the preoperative diagnosis of inguinal hernia repair[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(02): 169-171.

目的

探讨高频超声在腹股沟疝修补术前诊断的准确性。

方法

选择2019年4月至2021年4月于皖南医学院第二附属医院收治的腹股沟疝患者120例,所有患者均采用高频超声检查,再行腹股沟疝修补术。比较高频超声与手术结果的一致性,及两种检查的差异和准确性。

结果

经过手术证实,在120例患者中,一共有132处病灶。腹股沟疝有125个,非腹股沟疝有7个。高频超声显示一共有144处病灶,病灶为疝的共有136个,分别为直疝20个,斜疝116个;两种结果中,易复疝、难复性疝和嵌顿性疝数量的差异有统计学意义(P<0.05)。高频超声出现误诊病灶为12个(8.33%),漏诊病灶为1个(0.69%),高频超声病灶检出和手术结果一致性较强。

结论

高频超声在腹股沟斜疝修补术前诊断结果与手术结果一致性较高,具有较高准确性。

Objective

To explore the accuracy of high-frequency ultrasound in the preoperative diagnosis of inguinal oblique hernia repair.

Methods

From April 2019 to April 2021, the treatment of groin area pain in 120 patients was included as the study subjects. All patients used Doppler ultrasound and high frequency ultrasound examination and performed inguinal hernia repair to compare the consistency of high frequency ultrasound and surgical results and to compare the differences and accuracy of the two examinations.

Results

Surgical judgment confirmed 132 lesions in 120 patients. There were 125 inguinal hernias and 7 non-inguinal hernias. High-frequency ultrasound showed 144 lesions in total. There were 136 cases of hernia, including 20 direct hernia and 116 oblique hernia. Among the two results, the difference in the number of easily regenerated hernia, difficult regenerated hernia, and incarcerated hernias was statistically significant (P<0.05). 12 (8.33%) lesions were misdiagnosed by high-frequency ultrasound, and 1 (0.69%) lesions was missed. There was a strong consistency between the detection of high-frequency ultrasound lesions and the surgical results.

Conclusion

The accuracy of high-frequency ultrasound in the preoperative diagnosis of inguinal oblique hernia repair is highly consistent with the surgical results, which deserves clinical promotion.

表1 高频超声与手术结果的准确性比较(个)
表2 高频超声与手术结果的检测效能比较(%)
[1]
彭晓静,毛翠莲,杭菁, 等. 高频超声在女性腹股沟囊性病变鉴别诊断中的应用[J]. 中国超声医学杂志, 2019, 35(9): 833-836.
[2]
Hernia Surge Group. International guidelines for groin hernia management[J]. Hernia, 2018, 22(1): 1-165.
[3]
魏喜静,李广伟,孙宏广, 等. 快速康复护理在无张力腹股沟疝修补术中的干预[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(5): 528-531.
[4]
Miserez M, Peeters E, Aufenacker T, et al. Update with level 1studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients[J]. Hernia, 2014, 18(2): 151-163.
[5]
Berney CR. Guidelines for laparoscopic(TAPP) and endoscopic (TEP) treatment of inguinal hernia[J]. Surg Endosc, 2012, 26(11): 3350-3351.
[6]
Miller J, Cho J, Michael MJ, et al. Role of imaging in the diagnosis of occult hernias[J]. JAMA Surg, 2014, 149(10): 1077-1180.
[7]
胡海斌. 补中益气汤辅助无张力疝气修补术治疗腹股沟疝患者的临床观察[J]. 中国民间疗法, 2020, 28(7): 51-53.
[8]
Miller HJ. Inguinal hernia: mastering the anatomy[J]. Surg Clin North Am, 2018, 98(3): 607-621.
[9]
Zaidi SH, Rahman JU, Siddiqui TS, et al. Exploration of the contralateral groin in paediatric inguinal hernia or hydrocele bsed on ultrasound findings-is it justified?[J]. J Ayub Med Coll Abbottabad, 2017, 29(1): 26-29.
[10]
唐春燕,吴灵兰,黄贻琼, 等. 术前高频超声检查腹股沟斜疝与直疝的诊断价值探讨[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(3): 248-251.
[11]
Pavlatos E, Chen H, Clayson K, et al. Imaging corneal biomechanical responses to ocular pulse using high-frequency ultrasound[J]. IEEE Trans Med Imaging, 2018, 37(2): 663-670.
[12]
刘晓梅,张清超,张玮曾. 高频超声诊断小儿腹股沟卵巢疝2例[J]. 中国超声医学杂志, 2021, 37(5): 534.
[13]
郑学裕,李育智,王超, 等. 高频超声诊断腹股沟疝的影像学特征与手术结果符合率分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2020, 14(2): 185-188.
[14]
郑丽. 高频超声对腹股沟斜疝的诊断价值探讨[J]. 影像研究与医学应用, 2018, 2(18): 113-114.
[15]
韦祝花,陶月芽,胡庆兰. 高频超声在腹股沟斜疝临床诊断中应用的准确性分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(1): 44-47.
[16]
唐春燕,吴灵兰,黄贻琼, 等. 术前高频超声检查腹股沟斜疝与直疝的诊断价值探讨[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(3): 248-251.
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