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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 313 -316. doi: 10.3877/cma.j.issn.1674-392X.2022.03.015

临床论著

高频超声在不同类型腹股沟疝患者中的鉴别及与精索腹壁下动脉的关系研究
李梦梅1,(), 张春晓2   
  1. 1. 430000 武汉大学中南医院心血管超声医学科
    2. 430000 武汉大学中南医院胃肠外科
  • 收稿日期:2022-01-12 出版日期:2022-06-20
  • 通信作者: 李梦梅

The value of high-frequency ultrasonography in the differential of different types of inguinal hernia patients and its relationship with the spermatic cord inferior epigastric artery

Mengmei Li1,(), Chunxiao Zhang2   

  1. 1. Department of Cardiovascular Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan 430000, China
    2. Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430000, China
  • Received:2022-01-12 Published:2022-06-20
  • Corresponding author: Mengmei Li
引用本文:

李梦梅, 张春晓. 高频超声在不同类型腹股沟疝患者中的鉴别及与精索腹壁下动脉的关系研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(03): 313-316.

Mengmei Li, Chunxiao Zhang. The value of high-frequency ultrasonography in the differential of different types of inguinal hernia patients and its relationship with the spermatic cord inferior epigastric artery[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(03): 313-316.

目的

探讨高频超声在不同类型腹股沟疝患者中的鉴别价值及与精索腹壁下动脉的关系。

方法

选择2018年5月至2021年6月武汉大学中南医院收治疑似腹股沟疝患者116例为对象,均采用高频超声检查,以手术为腹股沟疝确诊及分类分型的"金标准",分析高频超声在腹股沟疝中的检出率、鉴别效能及不同类型腹股沟疝超声特点,比较不同类型腹股沟疝疝环直径及与精索腹壁下动脉的关系。

结果

116例疑似腹股沟疝患者经手术检查确诊67例,确诊率为57.76%。腹股沟疝患者中排在前两位的分别为:易复性疝或难复性疝与直疝;高频超声检查确诊62例,检查准确度为82.63%(P>0.05);诊断灵敏度为82.09%、特异度为85.71%;高频超声在直疝、易复性疝或难复性疝、嵌顿性疝及绞窄性疝中的检出率与手术检查结果差异无统计意义(P>0.05);高频超声下直疝、易复性疝、绞窄性疝疝环直径略高于手术检查,而难复性疝及嵌顿性疝疝环直径略低于手术检查,差异均无统计意义(P>0.05)。

结论

高频超声用于腹股沟疝患者中具有较高的检出率,能实现不同类型腹股沟疝鉴别,且与精索腹壁下动脉关系密切。

Objective

To explore the differential value of high frequency ultrasound in patients with different types of inguinal hernia and its relationship with the spermatic cord inferior epigastric artery.

Methods

A total of 116 patients with suspected inguinal hernia treated in Zhongnan Hospital of Wuhan University from May 2018 to June 2021 were selected as subjects, all of them were examined by high-frequency ultrasound, and surgery was the "gold standard" for the diagnosis and classification of inguinal hernia. The detection rate, differential efficiency of high-frequency ultrasound and the ultrasonographic characteristics of different types of inguinal hernias were analyzed, and the diameter of the hernia ring and its relationship with the spermatic cord inferior epigastric artery of different types of inguinal hernias were compared.

Results

Of the 116 patients with suspected inguinal hernia, 67 were diagnosed by surgical examination, the diagnosis rate was 57.76%. Among the patients with inguinal hernia, the top two were: reducible hernia or irreducible hernia and direct hernia. 62 cases were diagnosed by high-frequency ultrasonography, and the accuracy rate was 82.63% (P>0.05). The diagnostic sensitivity was 82.09%, the specificity was 85.71%. The detection rate of high-frequency ultrasound in direct hernia, reducible or irreducible hernia, incarcerated and strangulated hernia had no significance difference with the results of surgical examination (P>0.05). Under high-frequency ultrasound, the diameter of the hernia ring of direct hernia, reducible hernia, and strangulated hernia is slightly higher than that of surgical inspection, while the diameter of hernia ring of irreducible hernia and incarcerated hernia is slightly lower than that of surgical inspection, and there is no significance difference (P>0.05).

Conclusion

High-frequency ultrasound has a high detection rate in patients with inguinal hernia, and can identify different types of inguinal hernia, and it is closely related to the spermatic cord inferior epigastric artery.

表1 腹股沟疝患者手术检查类型及构成比
表2 高频超声在腹股沟疝患者中的检出情况(例)
表3 高频超声在不同类型腹股沟疝中的鉴别价值
表4 不同类型腹股沟疝环直径比较(cm,±s
[1]
江鸣, 包文中, 姜友, 等. 膜解剖在腹腔镜腹股沟疝修补术中的特点及临床应用[J]. 中国临床解剖学杂志, 2021, 39(5): 609-612.
[2]
孟令宽, 傅鑫, 陈东风, 等. 2011年至2021年我国416例腹内疝性肠梗阻患者临床特征及相关因素的分析[J]. 胃肠病学和肝病学杂志, 2022, 31(1): 22-27.
[3]
李智雄, 王星, 刘登瑞, 等. 不同年龄段单侧腹股沟疝及单侧鞘膜积液患儿对侧隐匿性鞘状突未闭的对比研究[J]. 兰州大学学报(医学版), 2020, 46(4): 68-72.
[4]
Vroegindewey MM, van den Berg VJ, Oemrawsingh RM, et al. High-frequency metabolite profiling and the incidence of recurrent cardiac events in post-acute coronary syndrome patients[J]. Biomarkers, 2020, 25(3): 235-240.
[5]
屈媛媛, 邹鲁, 潘小燕, 等. 超声引导下腹横筋膜阻滞对单侧腹股沟疝修补术老年患者术后疼痛及认知功能的影响[J]. 河北医科大学学报, 2022, 43(1): 95-99.
[6]
张红波, 刘发军, 熊远芳, 等. 腹腔镜手术同时治疗腹股沟疝与精索静脉曲张的可行性研究[J]. 局解手术学杂志, 2020, 29(5): 373-376.
[7]
Ichou J A, Gauvin S, Faingold R. Ultra-high-frequency ultrasound of superficial and musculoskeletal structures in the pediatric population[J]. Pediatric Radiology, 2021, 51(9): 1748-1757.
[8]
陈明, 陈云, 李昕. TEP与TAPP治疗小儿腹股沟疝的临床效果及血清炎性因子变化分析[J]. 临床和实验医学杂志, 2021, 20(9): 983-986.
[9]
Acquacalda E, Albert C, Montaudie H, et al. Ultrasound study of entheses in psoriasis patients with or without musculoskeletal symptoms: A prospective study[J]. Joint Bone Spine, 2015, 82(4): 267-271.
[10]
杨娅, 蒋锐, 肖瑜, 等. 多层螺旋CT在腹股沟疝患者手术中的临床意义[J]. 川北医学院学报, 2021, 36(12): 1645-1648.
[11]
刘静, 申英末, 陈杰, 等. 不同类型脱细胞基质材料生物补片在青少年腹股沟疝修补术中的应用价值[J]. 中华消化外科杂志, 2020, 19(7): 773-778.
[12]
李绍杰, 杨子昂, 李绍春, 等. 生物材料在不同年龄腹股沟疝患者中应用价值的探讨[J]. 老年医学与保健, 2020, 26(4): 602-605.
[13]
Barzegarkhoo R, Farhangi M, Lee SS, et al. Nine-level nine-switch common ground switched-capacitor inverter suitable for high-frequency AC-microgrid applications[J]. IEEE Trans Power Electron, 2022, 37(5): 6132-6143.
[14]
罗若谷, 武鹏, 张武有, 等. 单孔腹腔镜疝囊高位结扎术治疗腹股沟斜疝患儿的疗效及经济学分析[J]. 贵州医药, 2021, 45(12): 1940-1941.
[15]
王廷峰, 倪燕婷, 吴德俊, 等. 不同气腹压力下完全腹膜外腹股沟疝修补术气腹相关并发症的对比研究[J]. 腹腔镜外科杂志, 2020, 25(12): 903-907.
[16]
朱尤壮, 柴军, 杨福全, 等. 超声引导下腹横肌平面两点阻滞在高危老年患者腹股沟疝修补术中的应用[J]. 中华普通外科杂志, 2021, 36(11): 835-840.
[17]
Kim BY, Kim SS, Park HK, et al. Assessment of the relationship between knee ultrasound and clinical symptoms in patients with thyroid dysfunction[J]. J Int Med Res, 2020, 48(1): 030006051989770.
[18]
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.
[19]
苏志娟. 高频超声和彩色多普勒血流显像在腹股沟斜疝诊断中的临床应用研究[J]. 影像研究与医学应用, 2020, 4(6): 155-157.
[20]
来源, 张锦, 李凯. 右美托咪定不同给药方式对老年腹股沟疝无张力修补术患者神经阻滞麻醉效果与安全性的影响[J]. 药物不良反应杂志, 2020, 22(5): 283-288.
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