16排螺旋CT在腹股沟斜疝的临床应用

目的：探讨16排螺旋CT在腹股沟斜疝诊断中的临床应用。方法：回顾21例经手术证实的腹股沟斜疝患者的CT资料,并对其影像资料加以分析。结果：16排螺旋CT可以清晰显示疝囊部位、范围及其内容物,并能同时发现并发症。其中双侧腹股沟斜疝患者1例,左侧疝内容物为结肠,右侧疝内容物为大网膜。单侧腹股沟斜疝患者20例（左侧15例,右侧5例）,1例疝内容物为大网膜,19例疝内容物为小肠,并发肠梗阻的3例,合并鞘膜积液的3例。结论：16排螺旋CT通过薄层断面和多平面重建术可多角度显示疝囊、疝囊内容物以及并发症,且CT影像具有特征性能,为临床的诊断、鉴别诊断与手术提供很重要的信息。

Clinical application with 16-row spiral CT in diagnosis of indirect inguinal hernia

Objective： To determine the clinical value of 16-row spiral CT in the diagnosis of indirect inguinal hernia.Methods： The clinical data of 21 surgically treated patients with indirect inguinal hernia examined by 16-row CT were analyzed retrospectively.Results： Image of 16-row spiral CT could be used to visualize the hernial sac size,parts and its contents,and could also show complications.Double side of a left hernia the contents of the colon,right hernia the contents of the caul.unilateral in 20 cases（on the left in 15 cases,on the right in 5）,1 case of hernia the contents of the caul,19 cases of hernia the contents of the small intestine,three cases of concurrent ileus,three cases of concurrent hydrocele of tunica vaginalis.Conclusion： The 16-row spiral CT can show hernia in all angles.So it can be used to provide more valuable information to doctors.