高频彩色多普勒超声在老年腹股沟斜疝、直疝及股疝中的诊断与鉴别

目的分析高频彩色多普勒超声在老年腹股沟斜疝、直疝及股疝中的应用价值。 方法将2019年11月至2021年11月在庐江县人民医院收治的140例诊断为腹股沟疝的老年患者为研究对象，分析患者临床资料。全部患者均接受高频彩色多普勒超声检查，经手术探查，分析斜疝、直疝及股疝的不同超声影像表现，对比分析超声检出率与准确率。 结果高频彩色多普勒超声检查，直疝所占比例为15.94%；其中斜疝所占比率最多为78.26%，股疝所占比率为5.80%。所有患者经手术验证：腹股沟直疝的准确率为100%；腹股沟斜疝中，易复性疝准确率为97.78%，难复性疝为100%，嵌顿性疝为100%，绞窄性疝为100%，股疝为100.00%。所有病例超声检测准确率为98.57%。 结论高频彩色多普勒超声在老年腹股沟斜疝、直疝及股疝中的诊断价值较高，能有效对腹外疝的分型做出准确判断，值得临床推广。

Diagnosis and differentiation of oblique,direct and femoral inguinal hernia in senile patients by high-frequency color Doppler ultrasonography

ObjectiveTo analyze the application value of high frequency color Doppler ultrasound in indirect, direct and femoral inguinal hernia in the elderly. MethodsThe subjects of this study were the basic clinical data of 140 elderly patients diagnosed with inguinal hernia who received care in our hospital between November 2019 and November 2021, and the patients' basic clinical data were analyzed. All patients were examined by high-frequency color Doppler ultrasound. After surgical exploration, different ultrasound images of oblique hernia, direct hernia, and femoral hernia were analyzed, and the detection rate and accuracy of ultrasound were also analyzed. ResultsBy high-frequency color Doppler ultrasonography, direct hernia accounted for 15.94%, Oblique hernia accounted for 78.26%, and femoral hernia accounted for 5.80%. The diagnosis accuracy of direct inguinal hernia by high-frequency color Doppler ultrasonography was 100% after surgical verification; in indirect inguinal hernia, the accuracy of reducible hernia was 97.78%, irreducible hernia was 100%, incarcerated hernia was 100%, femoral hernia was 100.00%, and ultrasound detection accuracy was 98.57%. ConclusionHigh frequency color Doppler ultrasound has high diagnostic value in indirect inguinal hernia, direct hernia, and femoral hernia in the elderly, and can effectively make an accurate judgment on the classification of external abdominal hernia, which is worthy of clinical promotion.