分析多层螺旋计算机断层扫描（MSCT）、彩色高频超声对开放式腹股沟疝无张力修补术后患者早期并发症的诊断价值。

选取2021年1月至2025年2月于无锡市新吴区新瑞医院行开放式腹股沟疝无张力修补术治疗且术后早期出现不良症状的168例患者作为研究对象。入选患者均接受MSCT或彩色高频超声诊断。诊断期间结合患者实际情况调整检查位置、手法，多切面探查，确保获取全面的声像图。完成诊断后，影像科医师负责对超声扫查图像进行识别与判读。

MSCT对补片周围积液检出符合率100.00%显著高于彩色高频超声的66.67%，脂肪液化检出符合率63.16%显著低于彩色高频超声的94.74%，差异均有统计学意义（P<0.05）。MSCT诊断术后并发症阳性131例、阴性37例、误诊6例、漏诊8例，彩色高频超声诊断术后并发症阳性132例、阴性36例，误诊11例、漏诊12例；MSCT对术后早期并发症诊断的κ值0.753、约登指数0.768高于彩色高频超声的0.589、0.596。

MSCT、彩色高频超声对开放式腹股沟疝无张力修补术后患者早期并发症的整体诊断效能相近，但MSCT的诊断一致性、综合实用价值更优，在补片周围积液检出上具有优势，而彩色高频超声在脂肪液化检出上更具针对性。

To analyze the diagnostic value of multi-slice spiral computed tomography (MSCT) and color high-frequency ultrasound for early complications in patients undergoing open tension-free inguinal hernia repair.

A total of 168 patients who underwent open tension-free inguinal hernia repair in Wuxi Xinwu District Xinrui Hospital from January 2021 to February 2025 and developed adverse symptoms in the early postoperative period were selected as the research objects. All enrolled patients were diagnosed with either MSCT or color high-frequency ultrasound. During the diagnosis, the examination position and technique were adjusted according to the individual clinical condition of each patient, and multi-sectional exploration was performed to ensure comprehensive sonographic images were obtained. After the diagnosis, radiologists were responsible for identifying and interpreting the ultrasound scan images.

MSCT achieved a coincidence rate of 100.00% in detecting periprosthetic effusion, which was significantly higher than that of color high-frequency ultrasound (66.67%), while its coincidence rate for fat liquefaction was 63.16%, significantly lower than that of color high-frequency ultrasound (94.74%) (P<0.05). MSCT diagnosed 131 cases as positive, 37 cases as negative, with 6 misdiagnosed cases and 8 missed cases; color high-frequency ultrasound diagnosed 132 cases as positive, 36 cases as negative, with 11 misdiagnosed cases and 12 missed cases. The κ value (0.753) and Youden index (0.768) of MSCT for early postoperative complications were higher than those of color high-frequency ultrasound (0.589 and 0.596, respectively).

MSCT and color high- frequency ultrasound have similar overall diagnostic efficacy for early complications in patients undergoing open tension-free inguinal hernia repair. However, MSCT demonstrates superior diagnostic consistency and comprehensive practical value, with advantages in detecting periprosthetic effusion, while color high- frequency ultrasound is more targeted in detecting fat liquefaction.