摘要
目的评估多层螺旋CT扫描及三维重建技术在区别腹股沟直疝及斜疝的应用。方法收集54例同时行CT扫描及外科疝修补术的腹股沟疝病例资料,分别观察CT轴位、冠状位及矢状位对腹股沟疝的显示情况并区分腹股沟斜疝及直疝,并与手术结果对照。结果 MSCT及重建可以清晰直观地显示腹股沟疝并区分直疝及斜疝。其中冠状位对腹股沟结构显示最清楚,对腹股沟疝分类诊断正确率100%;矢状位次之,诊断正确率94%;横断位诊断正确率87%。结论 MSCT及高分辨率冠状位及矢状位重建可以精确地显示以及辨别腹股沟直疝、斜疝。
Objective To assess the contribution of multi-slice spiral CT and three-dimensional reconstruction techniques in the accurate diagnosis of direct and indirect inguinal hernias. Methods Fifty four patients, who had undergone both a multi-section CT and a hernioplasty, were identied in order to evaluate the display of inguinal hernia on axial, coronary and sagittal planes and to distinguish the direct and indirect inguinal hernias. Then, we compared the classification of inguinal hernia with the result of surgery. Results Inguinal hernias were clearly demonstrable using multi-section CT and recon structions and were accurately classified in direct and indirect inguinal hernias. On coronal CT reconstructions, the anato my of inguinal hernias was clearly demonstrated than others and the accuracy of inguinal hernias classification was 100 ~, following by sagittal planes with the accuracy of 94%, the axial was poor for the identication of the inguinal hernias with the accuracy rate of 87 %. Conclusion The high-resolution coronal and sagittal images available from multisection CT now permit the accurate diagnosis of groin hernias. Using simple anatomical criteria, direct and indirect inguinal hernias can be reliably distinguished.
出处
《医学影像学杂志》
2013年第2期226-229,共4页
Journal of Medical Imaging
