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目的通过对子宫圆韧带囊肿合并腹股沟斜疝的临床资料及彩色多普勒超声影像资料分析,以提高子宫圆韧带囊肿合并腹股沟斜疝的诊断率。方法回顾分析2013年1月至2016年5月,首都医科大学附属北京朝阳医院西院手术证实子宫圆韧带囊肿合并腹股沟斜疝18例患者的临床资料及声像图特点。结果 46例手术证实子宫圆韧带囊肿合并腹股沟斜疝中18例术前行超声检查,其中16例术前超声诊断子宫圆韧带囊肿合并腹股沟斜疝,1例诊断腹股沟斜疝漏诊圆韧带囊肿,1例误诊为股疝,诊断准确率88.9%(16/18)。子宫圆韧带囊肿超声表现为长椭圆形、梭形及不规则形,呈无或低回声,内部伴或不伴分隔例,CDFI分隔上可见血流信号。结论圆韧带囊肿和女性斜疝的发生有密切关系;高频彩色多普勒超声为圆韧带囊肿的诊断及鉴别诊断提供影像学依据;对圆韧带及圆韧带囊肿的认识有助于提高隐匿性腹股沟斜疝的诊断率。
Objective To improve the diagnostic rate of uterine round ligament cyst with inguinal hernia by analyzing the clinical data of uterus round ligament cyst with inguinal hernia and color Doppler ultrasound imaging data. Methods Retrospective analysis from January 2013 to May 2016, the Beijing Medical University Affiliated Beijing Chaoyang Hospital West Hospital surgery confirmed uterine round ligament cyst with inguinal hernia in 18 cases of clinical data and sonographic features. Results 18 cases of round ligament cyst with inguinal hernia were confirmed by operation in 46 cases. Among them, 16 cases were diagnosed as umbilical round ligament cyst with inguinal hernia by ultrasonic diagnosis before operation, Cases misdiagnosed as femoral hernia, the diagnostic accuracy rate of 88.9% (16/18). Uterine round ligament cysts ultrasound showed long oval, fusiform and irregular shape, showed no or low echo, with or without internal partitions, CDFI visible on the separation of blood flow signals. Conclusions Round lumbar cyst is closely related to the occurrence of female hernia. High-frequency color Doppler ultrasound provides imaging evidence for the diagnosis and differential diagnosis of round ligament cyst. The understanding of round ligament and round ligament cyst can improve occultness Diagnosis of inguinal hernia.