摘要
目的:总结股疝的声像图特点,旨在提高其超声诊断准确性。方法:回顾性分析41例共43侧经手术证实的股疝的临床资料与声像图表现。结果:依据病变包块是否与腹腔相通,包块的长轴走行及其与腹股沟韧带、股血管及耻骨结节的关系,将39侧包块诊断为股疝,并判断内容物性质,手术结果为单纯性股疝42侧,超声诊断符合率为93%(39/42),对疝内容物判断符合率为83%(24/29);1例双侧病变为右侧复合疝(右侧腹股沟斜疝伴股疝),左侧直疝,超声漏诊股疝,只提示了右侧腹股沟斜疝,左侧直疝;超声误诊3侧病变(2侧误诊为脂肪瘤,1侧误诊为囊性包块)。结论:高频彩色多普勒超声可准确显示疝块,通过识别疝块内部回声及疝块与周围组织结构解剖关系,能准确诊断股疝并判断疝内容物性质。
Objective ： Analyze the specific ultrasonic characteristics of femoral hernia in order to improve the accuracy of diagnosis . Methods ： The ultrasonographie features and clinical findings of 43 femoral hernias in 41 patients were reviewed retrospectively and an- alyzed. Results： According to the relationship between the diseased masses and the hernia ring, the relationships among the long axis direction of the masses, inguinal ligament, femoral vessels and tubereulum pubicum, 39 femoral hernias were diagnosed with ultra- sonography. Hernial contents were also detected on uhrasonograpy. Compared with the result of surgery, the exact agreements of ultra- sound diagnosis of femoral hernia and hernial contents were 93% （39/42）and 83 % （24/29）. In one case, indirect inguinal hernia and femoral hernia in right inguinal region and direct inguinal hernia in the eontralateral were found at surgery, and ultrasonography showed only indirect inguinal hernia and direct inguinal hernia. In the diagnosis, 3 femoral hernias were misdiagnosed with lipoma in 2, cystic mass in 1. Conclusion ： Ultraonography is an accurate technique for the detection of femoral hernia. According to the realization of ana- tomical relationship between internal echo of femoral hernia masses and the organization structures around, the disease of femoral hernia and the quality of its contents can be exactly diagnosed.
出处
《川北医学院学报》
CAS
2013年第3期277-279,共3页
Journal of North Sichuan Medical College
