当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
11期
111-112
,共2页
腹腔镜%彩色多普勒超声%隐匿性%腹股沟斜疝
腹腔鏡%綵色多普勒超聲%隱匿性%腹股溝斜疝
복강경%채색다보륵초성%은닉성%복고구사산
Color Doppler ultrasound%Laparoscopy%Occult%Inguinal hernia
目的：探讨腹腔镜结合术前彩超对小儿隐匿性斜疝的诊断及治疗。方法选取2012年1月～2013年10月山西儿童医院收治的861例腹腔镜治疗小儿腹股沟斜疝患儿的临床资料，术前均常规行彩色多普勒超声检查，患儿年龄6月～14岁，平均（4.18±0.03）岁。结果腹腔镜手术过程均顺利，手术时间单侧为（12.26±0.04）min，双侧为（23.68±0.12）min。术中发现对侧隐性内环口未闭148例，占17.19%，均手术处理。彩超准确诊断824例，误诊15例，漏诊22例，诊断阳性率为95.70%，假阳性率为1.74%，假阴性率为2.56%。结论术前彩色多普勒超声可提高对隐匿性腹股沟斜疝的术前诊断水平，结合腹腔镜可明确诊断，避免手术探查的盲目性。
目的：探討腹腔鏡結閤術前綵超對小兒隱匿性斜疝的診斷及治療。方法選取2012年1月～2013年10月山西兒童醫院收治的861例腹腔鏡治療小兒腹股溝斜疝患兒的臨床資料，術前均常規行綵色多普勒超聲檢查，患兒年齡6月～14歲，平均（4.18±0.03）歲。結果腹腔鏡手術過程均順利，手術時間單側為（12.26±0.04）min，雙側為（23.68±0.12）min。術中髮現對側隱性內環口未閉148例，佔17.19%，均手術處理。綵超準確診斷824例，誤診15例，漏診22例，診斷暘性率為95.70%，假暘性率為1.74%，假陰性率為2.56%。結論術前綵色多普勒超聲可提高對隱匿性腹股溝斜疝的術前診斷水平，結閤腹腔鏡可明確診斷，避免手術探查的盲目性。
목적：탐토복강경결합술전채초대소인은닉성사산적진단급치료。방법선취2012년1월～2013년10월산서인동의원수치적861례복강경치료소인복고구사산환인적림상자료，술전균상규행채색다보륵초성검사，환인년령6월～14세，평균（4.18±0.03）세。결과복강경수술과정균순리，수술시간단측위（12.26±0.04）min，쌍측위（23.68±0.12）min。술중발현대측은성내배구미폐148례，점17.19%，균수술처리。채초준학진단824례，오진15례，루진22례，진단양성솔위95.70%，가양성솔위1.74%，가음성솔위2.56%。결론술전채색다보륵초성가제고대은닉성복고구사산적술전진단수평，결합복강경가명학진단，피면수술탐사적맹목성。
Objective To investigate the diagnosis and treatment signiifcance of Laparoscopy and preoperative color Doppler ultrasound in occult inguinal hernia of the children. Methods From Jan 2012 to Oct 2013, 861 children examined by preoperative color doppler ultrasound aged from 6 month to 14 years (4.18±0.03) were treated mini-Laparoscopic indirect inguinal hernia repair. The clinical data were carefully analyzed. Results The operations were successful. The unilateral indirect inguinal hernia completed took (12.26±0.04)min, while (23.68±0.12)min in bilateral indirect inguinal hernia. During operation, 148 children with hidden patent internal ring of the other side were found (17.19%) who have been successfully operated. The 824 cases were diagnosed accurately by Color doppler ultrasound and 15 cases were misdiagnosed, while 22 cases missed diagnosis. The diagnosis positive rate was 95.70%and false positive rate 1.74%, in addition, the false negative rate was 2.56%. Conclusion Preoperative color doppler ultrasound combined with laparoscopy can improve the preoperative diagnosis of occult inguinal hernia, and avoid the blindness of surgical exploration.
