摘要
目的探讨高频超声对小儿腹股沟疝大网膜嵌顿伴化脓的诊断价值。方法回顾性分析经临床手术及病理证实的13例小儿腹股沟疝大网膜嵌顿伴化脓的声像图表现，并对其伴随的睾丸及其他并发症进行总结分析。结果误诊1例，其余12例的声像图特点为疝囊内不均质中强回声区内见多个不规则、大小不等的无回声区，可呈网格状，通过疝囊颈与腹腔相通。中强回声及无回声区内均未见血流信号。13例中12例伴有1种或多种并发症。结论小儿腹股沟疝大网膜嵌顿伴化脓具有特征性的声像图表现，高频超声可作出正确诊断，同时可检出睾丸情况及其他并发症。
Objective To explore the diagnostic value of hign frequency ultrasonography in children with incarcerated inguinal hernia containing suppurative greater omentum. Methods Thirteen pediatric patients with incarcerated inguinal hernia containing suppurative greater omentum,confirmed by surgery and pathology,were retrospectively analyzed according to the features of the ultrasonogram. The testicle and other complications were discussed. Results One patient was misdiagnosed. Sonogram of the other 12 patients showed several irregular and different-sized anechoic areas among the heterogeneous hyperechoic areas in the hernial sac, The inguinal canal extends to abdominal cavity through the neck of hernial sac. No blood flow signal was found in hyperechoic or anechoic areas by color Doppler flow imaging. At least one complication was diagnosed in 12 of the 13 patients. Conclusions Incarcerated inguinal hernia containing suppurative greater omentum has its characteristic sonogram, which could be diagnosed correctly by high frequency ultrasonography,and their complications could be discovered promptly.
出处
《中华超声影像学杂志》
CSCD
2007年第3期239-241,共3页
Chinese Journal of Ultrasonography
关键词
超声检查
疝
腹股沟
网膜
化脓
Ultrasonography
Hernia,inguinal
Omentum
Suppuration
