高频超声在不同类型腹股沟疝患者中的鉴别及与精索腹壁下动脉的关系研究

目的探讨高频超声在不同类型腹股沟疝患者中的鉴别价值及与精索腹壁下动脉的关系。 方法选择2018年5月至2021年6月武汉大学中南医院收治疑似腹股沟疝患者116例为对象,均采用高频超声检查,以手术为腹股沟疝确诊及分类分型的"金标准",分析高频超声在腹股沟疝中的检出率、鉴别效能及不同类型腹股沟疝超声特点,比较不同类型腹股沟疝疝环直径及与精索腹壁下动脉的关系。 结果116例疑似腹股沟疝患者经手术检查确诊67例,确诊率为57.76%。腹股沟疝患者中排在前两位的分别为：易复性疝或难复性疝与直疝;高频超声检查确诊62例,检查准确度为82.63%（P>0.05）;诊断灵敏度为82.09%、特异度为85.71%;高频超声在直疝、易复性疝或难复性疝、嵌顿性疝及绞窄性疝中的检出率与手术检查结果差异无统计意义（P>0.05）;高频超声下直疝、易复性疝、绞窄性疝疝环直径略高于手术检查,而难复性疝及嵌顿性疝疝环直径略低于手术检查,差异均无统计意义（P>0.05）。 结论高频超声用于腹股沟疝患者中具有较高的检出率,能实现不同类型腹股沟疝鉴别,且与精索腹壁下动脉关系密切。

The value of high-frequency ultrasonography in the differential of different types of inguinal hernia patients and its relationship with the spermatic cord inferior epigastric artery

ObjectiveTo explore the differential value of high frequency ultrasound in patients with different types of inguinal hernia and its relationship with the spermatic cord inferior epigastric artery. MethodsA total of 116 patients with suspected inguinal hernia treated in Zhongnan Hospital of Wuhan University from May 2018 to June 2021 were selected as subjects, all of them were examined by high-frequency ultrasound, and surgery was the "gold standard" for the diagnosis and classification of inguinal hernia. The detection rate, differential efficiency of high-frequency ultrasound and the ultrasonographic characteristics of different types of inguinal hernias were analyzed, and the diameter of the hernia ring and its relationship with the spermatic cord inferior epigastric artery of different types of inguinal hernias were compared. ResultsOf the 116 patients with suspected inguinal hernia, 67 were diagnosed by surgical examination, the diagnosis rate was 57.76%. Among the patients with inguinal hernia, the top two were: reducible hernia or irreducible hernia and direct hernia. 62 cases were diagnosed by high-frequency ultrasonography, and the accuracy rate was 82.63% (P>0.05). The diagnostic sensitivity was 82.09%, the specificity was 85.71%. The detection rate of high-frequency ultrasound in direct hernia, reducible or irreducible hernia, incarcerated and strangulated hernia had no significance difference with the results of surgical examination (P>0.05). Under high-frequency ultrasound, the diameter of the hernia ring of direct hernia, reducible hernia, and strangulated hernia is slightly higher than that of surgical inspection, while the diameter of hernia ring of irreducible hernia and incarcerated hernia is slightly lower than that of surgical inspection, and there is no significance difference (P>0.05). ConclusionHigh-frequency ultrasound has a high detection rate in patients with inguinal hernia, and can identify different types of inguinal hernia, and it is closely related to the spermatic cord inferior epigastric artery.