Abstract:

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.

Key words: High-frequency ultrasound, Indirect inguinal hernia, Diagnostic value, Sensitivity