目的

探究高频超声对腹股沟斜疝的诊断价值。

方法

回顾性分析2021 年1 月至2023 年10 月庐江县中医院就诊80 例腹股沟斜疝患者的临床资料。患者入院后均接受高频超声检测，以临床综合检查作为依据，分析高频超声对腹股沟斜疝的诊断效能（灵敏度、特异度、漏诊率、误诊率）。同时收集整理腹股沟斜疝患者术后疾病复发的相关因素，并进行单因素和多因素Logistic分析。

结果

高频超声诊断腹股沟斜疝的灵敏度为（84.74%），特异度为（71.43%），漏诊率为（15.26%），误诊率为（28.57%）。单因素分析结果显示，性别、体重指数、患者疝囊发病位置、嵌顿情况与腹股沟斜疝患者术后复发无关（P＞0.05），而术后结扎线是否可溶以及内环口大小与患者术后复发相关（P＜0.05）。Logistic 分析显示，腹股沟斜疝患者术后复发的危险因素主要包括术后内环口直径超过2 cm、结扎线可吸收（P＜0.05）。

结论

高频超声诊断腹股沟斜疝具有较高的诊断价值，为疾病后续治疗提供可靠的影像学依据。

Objective

To explore the diagnostic value of high-frequency ultrasound on indirect inguinal hernia.

Methods

Using retrospective analysis, the clinical data of 80 patients with indirect inguinal hernia admitted to Lujiang County Hospital of Traditional Chinese Medicine were collected from January 2021 to October 2023. All patients received high-frequency ultrasound examinations after admission. Based on the comprehensive clinical examination, the diagnostic efficiency (sensitivity,specificity, missed diagnosis rate, misdiagnosis rate) of high-frequency ultrasound on indirect inguinal hernia was analyzed. The related factors of postoperative disease recurrence in patients with indirect inguinal hernia were collected and sorted out by univariate analysis and multivariate logistic analysis.

Results

The sensitivity, specificity, missed diagnosis rate and misdiagnosis rate of high-frequency ultrasound in the diagnosis of indirect inguinal hernia were 84.74%, 71.43%, 15.26% and 28.57%.Univariate analysis showed that gender, body mass index, location of gizzard and incarceration were not related to postoperative recurrence in patients with indirect inguinal hernia (P＞0.05), while whether the postoperative ligature was soluble and size of the internal ring were related to postoperative recurrence(P＜0.05). Logistic analysis showed that the main risk factors for postoperative recurrence in patients with indirect inguinal hernia were diameter of internal ring more than 2 cm and absorbable ligature (P＜0.05).

Conclusion

High-frequency ultrasound has a high diagnostic value in the diagnosis of indirect inguinal hernia and provides reliable imaging evidence for the subsequent treatment of the disease.