To explore the value of multi-slice spiral CT in the diagnosis of inguinal hernia.

The clinical data and multi-slice spiral CT images of 86 adult male inguinal hernia patients admitted to Anhui No.2 provincial people's hospital from March 2015 to March 2019 were retrospectively analyzed. The surgical results were used as the gold standard for value analysis to observe the location and type of inguinal hernia. The diagnostic value of multi-slice spiral CT in inguinal hernia was analyzed. To observe the imaging signs of inguinal hernia.

There were 104 hernial sacs in 86 patients. The sensitivity and specificity of multi-slice spiral CT in diagnosing indirect hernia were 95.35% and 94.12%, respectively. The sensitivity and specificity of direct hernia were 94.12% and 95.35%, respectively. 82 cases (95.34%) of the hernias were located outside the inferior epigastric artery as indirect hernia, and the internal ring of the inguinal canal was enlarged; All the hernias were not filled with trigonal femoral plug, and were located in front of the inguinal ligament, without the sign of lateral crescent. The sac of the direct hernias were located inside the inferior epigastric artery, the internal ring of the inguinal canal was normal, without trigonal filling, and located in front of the inguinal ligament; 14 cases (82.35%) had lateral crescent sign. The hernial sac was located in the posterior lower part of the inferior abdominal artery, the inner ring of the inguinal canal was normal, the femoral triangle was filled, and it was located behind the inguinal ligament without the sign of lateral crescent.

Multi-slice spiral CT can show anatomical details of the inguinal region, improve the diagnostic accuracy of patients with indirect and direct hernia. On the basis of physical examination and color ultrasound examination, multi-slice spiral CT examination is of high diagnostic value in the identification of indirect hernia and direct hernia.