摘要
目的探讨彩色多普勒超声结合血清C反应蛋白在腹股沟嵌顿疝诊断中的临床意义。方法选取2018年2月至2021年6月在武警海南省总队医院接诊的74例诊断为腹股沟嵌顿疝的患者作为研究对象,分析患者临床症状。全部患者均接受彩色多普勒超声检查结合测定血清C反应蛋白指标,经手术探查进行分析。结果(1)彩色多普勒超声可见到腹股沟疝缺损的腹壁影像,能够判断嵌顿内容物的性质;(2)彩色多普勒超声检查显示,直疝嵌顿占1.35%,斜疝嵌顿占91.89%,股疝嵌顿占6.76%,与手术探查结果一致;(3)嵌顿内容物的分布比例,内容物在肠管所占比例为56.76%,比例最多;内容物在大网膜的比例为39.19%;内容物在阑尾合并肠管中比例为2.70%;内容物在卵巢中的比例为1.35%。与手术探查结果一致;(4)腹股沟嵌顿疝的诊断中,血清C反应蛋白与之存在密切相关性。结论彩色多普勒超声结合血清C反应蛋白在腹股沟嵌顿疝中诊断价值较高。
Objective To investigate the clinical significance of color Doppler ultrasonography combined with serum C-reactive protein in the diagnosis of incarcerated inguinal hernia.Methods A total of 74 patients diagnosed with incarcerated inguinal hernia admitted in Hainan Armed Police Corps Hospital from February 2018 to June 2021 were selected as study subjects,and the clinical symptoms of the patients were analyzed.All patients were examined by color Doppler ultrasonography combined with serum C-reactive protein index,and were analyzed using surgical exploration.Results(1)Color Doppler ultrasonography could detect the abdominal wall image of inguinal hernia defect,which could identify the nature of incarcerated contents.(2)Color Doppler ultrasonography showed that incarcerated direct hernia accounted for 1.35%,incarcerated indirect hernia accounted for 91.89%,incarcerated femoral hernia accounted for 6.76%,which were consistent with the results of surgical exploration.(3)The proportion of incarcerated contents was 56.76%in the intestine,which accounted for the largest proportion.The proportion of contents was 39.19%in omentum.The proportion of contents was 2.70%in appendix combined with intestine.The proportion of contents was 1.35%in ovary,which was consistent with the results of surgical exploration.(4)Serum C-reactive protein is closely correlated with the diagnosis of incarcerated inguinal hernia.Conclusion Color Doppler ultrasonography combined with serum C-reactive protein has high diagnostic value in inguinal incarcerated hernia.
作者
陈燕
陆喆
李玉
Chen Yan;Lu Zhe;Li Yu(Department of Laboratory and Pathology,Hainan Armed Police Corps Hospital,Haikou 570100,China;Department of Clinical Laboratory,Hainan Women and Children's Medical Center,Haikou 571199,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2022年第4期417-420,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
海南省自然科学基金青年基金(821QN0999)。
关键词
彩色多普勒超声
C反应蛋白
腹股沟嵌顿疝
诊断
Color Doppler ultrasonography
Serum C-reactive protein
Incarcerated inguinal hernia
Diagnosis
