高频彩色多普勒超声诊断腹股沟斜疝的价值

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The value high-frequency color Doppler ultrasound in the diagnosis indirect inguinal hernia

Han Qingyue， Chen Shujuan，Li Shuqin ColorUltrasoundRoom，Xinmi HospitalTraditionalChineseMedicine，Zhengzhou 452370，China

【Abstract】 Objective To explore the value high-frequency color Doppler ultrasound in the diagnosis indirectinguinal hernia.MethodsAretrospectiveanalysiswasconducted tocolectclinicaldata78patients withindirectinguinal hernia whounderwent surgical treatmentat Xinmi Hospital Traditional Chinese Medicine fromFebruary 2O22 to February 2024.All patients underwent high-frequency color Doppler ultrasound examination beforesurgery，thesurgical resultswereregardedasthegoldstard.Thediagnosticeffcacyusinghighfrequency color Dopplerultrasound combined with diagnosis indirectinguinal hernia wasanalyzed.ResultsThe surgicalresultsconfirmed thatamong the78 patientswith indirect inguinal hernia，48cases were prone to recurrent hernia， accounting for 61.5% .Sixteen cases refractory hernia，accounting for 20.5% .Nine cases were incarcerated hernias，accounting for 11.5% .Fivecases were strangulated hernias，accounting for 6.4% . The overall accuracy high-frequency color Doppler ultrasound in diagnosing indirect inguinal hernia classification was 87.2% ，with accuracies 93.6%，89.7%， 92.3% ， 98.7% for easily recurrent hernia，difficult recurrent hernia，incarcerated hernia， strangulated hernia， respectively. The sensitivities were 91.7% ， 81.3% ， 77.8% ， 80.0% ，respectively. The specificity was 96.7%， 91.9 % 94.2% ， 100.0% ，respectively. The consistency between high-frequency color Doppler ultrasound diagnosis indirect inguinal hernia clasification surgical results was good （Kappa=0.778，P <0.001）.ConclusionHigh-frequency color Doppler ultrasound has certain diagnostic value for the classification indirect inguinal hernia has important guiding significance for the development clinical treatment plans.

【Key Words】 Hernia，inguinal;Ultrasonography，Doppler，color; DiagnosisDOI：10.19522/j.cnki.1671-5098.2025.04.009

腹股沟疝以斜疝较为常见，其发生与腹壁薄弱及长期腹腔内高压有关，随着病情进展，疝块可逐渐增大，易发生嵌顿，引起腹腔组织器官缺血、坏死[1]。（剩余4949字）