CAJ | 학술논문

目的：探讨高频超声及彩色多普勒早期诊断女婴幼儿腹股沟卵巢嵌顿疝的价值。方法回顾性分析我院2011年9月-2013年10月收治的经手术证实的26例（27侧）女婴幼儿腹股沟斜疝患儿，采用高频超声及彩色多普勒多切面扫查患儿腹股沟区，并与健侧对比观察。结果经临床手术证实27侧腹股沟卵巢嵌顿疝，其中26侧超声做出同样诊断，1侧隐匿性疝漏诊。高频超声探查示腹股沟区可见似卵巢样低回声，其内可见多个无回声区。彩色多普勒示9侧嵌顿的卵巢血流信号丰富并流速峰值正常，术中可见卵巢血供良好，进行复位后预后良好；13侧嵌顿的卵巢血流信号呈点状分布并流速峰值减低，术中可见卵巢扭转但并未坏死；4侧嵌顿的卵巢未见明显血流信号，术中可见卵巢变黑坏死并切除；有1侧隐匿性疝漏诊，于术中探查发现。高频超声检查患侧卵巢上下径、前后径、左右径较健侧均增大（P <0.05）。结论高频超声及彩色多普勒对于诊断女婴幼儿腹股沟嵌顿疝较准确。
목적：탐토고빈초성급채색다보륵조기진단녀영유인복고구란소감돈산적개치。방법회고성분석아원2011년9월-2013년10월수치적경수술증실적26례（27측）녀영유인복고구사산환인，채용고빈초성급채색다보륵다절면소사환인복고구구，병여건측대비관찰。결과경림상수술증실27측복고구란소감돈산，기중26측초성주출동양진단，1측은닉성산루진。고빈초성탐사시복고구구가견사란소양저회성，기내가견다개무회성구。채색다보륵시9측감돈적란소혈류신호봉부병류속봉치정상，술중가견란소혈공량호，진행복위후예후량호；13측감돈적란소혈류신호정점상분포병류속봉치감저，술중가견란소뉴전단병미배사；4측감돈적란소미견명현혈류신호，술중가견란소변흑배사병절제；유1측은닉성산루진，우술중탐사발현。고빈초성검사환측란소상하경、전후경、좌우경교건측균증대（P <0.05）。결론고빈초성급채색다보륵대우진단녀영유인복고구감돈산교준학。
Objective To evaluate the value of high frequency ultrasound and color Doppler on the early diagnosis of in-guinal ovarian hernia of female nurseling. Methods 26 cases(27 sides)of female nurselings with inguinal ovarian hernia admit-ted to our hospital from September 2011 to October 2013 were retrospectively analyzed. High frequency ultrasound and color Doppler were used to examine the inguinal region,and the results were compared with those of the uninjured side. Results 27 sides of inguinal ovarian hernia were confirmed by clinical surgery,and 26 sides were diagnosed by ultrasound,and one side of concealed hernia was missed diagnosis. High frequency ultrasound showed ovarian - like echo as well as several echoless are-as. Color Doppler showed plenty of blood flow signals with normal peak velocity in 9 sides of incarcerated hernia,and the blood supply in the ovary was excellent and the prognosis was satisfactory after reposition;13 sides of incarcerated hernia had dotted dis-tribution with decreased peak velocity,and ovarian torsion could be seen during surgery but without necrosis;4 sides of incarcera-ted hernia had no obvious blood flow signal,and the ovary was black and removed due to necrosis;one side of concealed hernia was missed diagnosis,and was found during surgery. High frequency ultrasound showed statistically significant differences between the superior and inferior diameters,anterior and posterior diameters and left and right diameters in the affected side and uninjured side (P < 0. 05). Conclusion High frequency ultrasound and color Doppler are fairly accurate in the diagnosis of inguinal incarcera-ted ovarian hernia in female nurseling.