摘要
目的探讨彩色多普勒超声检查在腹外疝中的诊断及鉴别诊断价值。方法对临床怀疑腹外疝的58例患者进行彩色多普勒超声检查,超声检查结果与手术或穿刺活检病理对比分析。结果58例患者中,超声诊断腹外疝56例,其中腹股沟斜疝49例,腹股沟直疝3例,白线疝1例,腹壁切口疝2例,股疝1例;另2例诊断为腹股沟淋巴结肿大。超声诊断与病理诊断符合率为100%。结论彩色多普勒超声检查不仅能明确腹外疝的有无、类型,还能了解疝内容物及血供情况,具有非常重要的临床应用价值。
Objective To approach the diagnostic and differential diagnostic value of color Doppler ultrasonography in abdominal external hernia. Methods 58 cases were examined by color Doppler ultrasonography, which were suspected as abdominal external hernia. The examination results together with the patho of post-operation or post-puncturation were cross-check analyzed. Results In all 58 cases, there were 56 external abdominal hernias including 49 oblique inguinal hernia, 3 direct inguinal hernia, 1 hernia of linea alba, 2 abdominal wall incisional hernia and 1 femoral hernia. Besides, hernias, there were 2 cases wit h inguinal lymphadenectasis. The diagnoses rate by color Doppler uhrasonography is corresponded with the pathology by 100%. Conclusions The color Doppler ultrasonography not only can identify existence and type of abdominal external hernia, but also can get the message hernial content and blood supply. It has very important clinical apphcation value.
关键词
腹外疝
彩色多普勒超声
诊断
Abdominal external hernia
Color Doppler Ultrasonography
Diagnosis