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目的:探讨和分析腹股沟疝气应用超声检查诊断的临床意义。方法:研究选择2014年7月至2017年5月在本院治疗的80例腹股沟可触及到包块或者疑似存在包块的患者作为研究对象,所有患者进行超声检查,总结超声诊断结果,并同手术证实结果进行比较。结果:经超声诊断有78例患者为腹股沟疝,检出率为97.50%,其中70例(87.50%)患者为斜疝,3例(3.75%)患者为直疝,5例(6.25%)患者为股疝。经手术证实全部均为腹股沟疝患者,其中71例(88.75%)患者为斜疝,3例(3.75%)患者为直疝,6例(7.50%)患者为股疝。超声检出78例,有2例斜疝合并隐睾的患者被漏诊,超声只诊断出隐睾,而漏诊了斜疝,漏诊率为2.50%。有1例股疝患者被误诊呈斜疝,误诊率为1.25%。结论:超声检查在腹股沟疝气的诊断中应用价值很高,检出率很高,且漏诊率和误诊率均比较底。
Objective: To investigate and analyze the clinical significance of application of ultrasound examination in inguinal hernia. Methods: From July 2014 to May 2017, 80 patients with inguinal palpable masses or suspicious masses in our hospital were selected as the research object. All the patients underwent ultrasound examination, and the results of ultrasound diagnosis were summarized and analyzed. Surgery confirmed the results were compared. Results: 78 cases were diagnosed as inguinal hernia by ultrasound and the detection rate was 97.50%. Among them, 70 cases (87.50%) had indirect hernia, 3 cases (3.75%) had direct hernia, and 5 cases (6.25% For the femoral hernia. Surgical confirmation of all patients with inguinal hernia, of which 71 cases (88.75%) were patients with oblique hernia, 3 patients (3.75%) were patients with direct hernia, 6 patients (7.50%) were femoral hernia. 78 cases were detected by ultrasound. Two patients with cryptorchid hernia complicated by cryptorchidism were missed. Cryptorchidism was diagnosed only by ultrasound, but hernia was missed. The rate of misdiagnosis was 2.50%. A case of hernia hernia was misdiagnosed as a hernia, misdiagnosis rate of 1.25%. Conclusion: Ultrasonography has high value in the diagnosis of inguinal hernia, the detection rate is very high, and the rate of misdiagnosis and missed diagnosis are both low.