分析超声检查在单侧腹股沟疝成人患者中探查对侧隐匿疝的效果。

收集2021年1月至2022年4月梅河口市中心医院行腹腔镜经腹腹膜前疝修补术治疗的373例单侧腹股沟疝患者的临床资料，进行回顾性分析。所有患者术前均经腹股沟超声检查，并将检查结果与术中结果进行对比，明确超声检查对单侧腹股沟疝患者对侧隐匿疝的探查效果。

373例患者均在门诊通过查体确诊单侧腹股沟疝，入院后行双侧腹股沟超声，其中21例患者术前超声探查对侧存在隐匿疝，并全部在手术中确诊；352例患者术前超声未探查出对侧存在隐匿疝，术中确诊对侧腹股沟疝48例，未发现对侧疝304例。超声探查对侧隐匿疝的灵敏性30.4%，特异性为100%，超声检查的总体准确率为87.1%。

超声对单侧腹股沟疝患者对侧隐匿疝探查的特异性高，超声检查的总体准确率较高，对隐匿疝的发现和诊断具有一定的指导意义。

To analyze the effect of ultrasound in detecting contralateral concealed hernia in adult patients with unilateral inguinal hernia.

We collected the data of 373 patients who were admitted to Meihekou Central Hospital for unilateral inguinal hernia and underwent laparoscopic trans-abdominal preperitoneal hernioplasty from January 2021 to April 2022. Retrospective analysis has been done based on these data. All patients underwent inguinal ultrasonography before operation, the results and intraoperative results were compared to clarify the effect of ultrasound in detecting contralateral concealed hernia in patients with unilateral inguinal hernia.

373 patients were diagnosed with unilateral inguinal hernia by physical examination in the outpatient department, and bilateral inguinal ultrasonography was done after admission. 21 patients had concealed hernia on the opposite side detected by ultrasound before the operation, and all of them were confirmed during the operation. Of the other 352 patients with contralateral inguinal hernia not detected by ultrasound, 48 patients were diagnosed with contralateral inguinal hernia during the operation, and 304 patients were not found to have contralateral hernia. The sensitivity and specificity of ultrasound in detecting contralateral concealed hernia were 30.4% and 100% respectively, The overall accuracy of ultrasound was 87.1%.

Ultrasound has good specificity in detecting contralateral concealed hernia in patients with unilateral inguinal hernia, and the overall accuracy is high. It has certain guiding significance for the discovery and diagnosis of concealed hernia.