彩色多普勒超声检查在腹股沟疝无张力修补术后并发症诊断中的应用

目的总结腹股沟疝无张力修补术后并发症的彩色多普勒超声表现。方法回顾性分析本院外科2008年1月至2009年12月间103例腹股沟疝修补术后各种不适患者彩色多普勒超声检查资料。结果彩色多普勒超声检查103例患者中,伤口脂肪液化4例,血肿13例,血清肿9例;切口感染并窦道形成5例;复发疝16例,手术证实12例,误诊4例,其中腹壁肌层血管瘤误诊为疝复发1例,腹股沟脂肪瘤误诊为腹股沟疝2例,圆韧带囊肿误诊为腹股沟疝1例;腹股沟淋巴结肿大23例;膀胱损伤1例,阴囊壁水肿19例,精索增粗11例,睾丸炎5例,睾丸萎缩2例,鞘膜腔积液26例;彩色多普勒超声检查无异常发现10例。结论腹股沟疝无张力修补术由于其解剖区域及补片异物置入特点,术后并发症有其自身发病特点;彩色多普勒超声检查对腹股沟无张力疝术后各种并发症诊断有重要价值。

The application of color Doppler ultrasonography in diagnosis for the complication of tension-free inguinal hernia repair

Objective To assess the complication for tension-free repair of inguinal hernia by color Doppler ultrasonography.Methods A total of 103 patients with discomfort following tension-free repair of inguinal hernia was analyzed by ultrasound from January 2008 to December 2009.Results Of the 103 patients with color Doppler ultrasonography,4 suffered from colliquation of fat,13 cases of hematoma,9 cases of seroma;5 cases of wound infection with sinus tract;There were 16 cases of recurrence of hernia including 4 ca...