彩色多普勒超声对腰疝的诊断价值

目的探讨彩色多普勒高频超声对腰疝诊断的临床价值。方法将1997年1月至2012年8月在我院经手术证实的6例腰疝患者临床资料进行回顾性分析。结果左侧腰疝4例，右侧腰疝2例，其中1例合并急性肠梗阻，6例腰疝彩色多普勒超声表现为部分腹腔内容物（可见蠕动肠管回声）经腰三角间隙疝出于髂腰部皮下软组织内，深部肌层组织及筋膜回声连续性中断。结论彩色多普勒超声可显示疝囊和疝内容物，对腰疝的诊断具有重要的临床价值，可作为腰疝的首选检查方法。

The diagnostic value of color Doppler ultrasound for lumbar hernia

Objective To investigate the clinical value of color Doppler high-frequency ultrasound in the diagnosis of lumbar hernia. Methods The clinical data on six patients with surgically confirmed lumbar hernia who had been hosptialized during the period of January 1997 to August 2012 were retrospectively analyzed. Results Left lumbar hernia occurred in four paients and right lumbar hernia occurred in two patients; one of the six patients was complicated by acute intestinal obstruction. The color Doppler ultrasound showed part of the intraabdominal contents （visible peristaltic intestinal echo） protruded into the subcutaneous soft tissue of the iliolumbar region through the lumbar triangle gap, with interruption of the continuity of deep muscle tissue and fascia echoes. Conclusions Color Doppler uhrasound can show the hernia sac and hernial contents, which has important clinical value in the diagnosis of lumbar hernia can be used as the first choice of examination for lumbar hernia.