中华解剖与临床杂志
中華解剖與臨床雜誌
중화해부여림상잡지
Chinese Journal of Anatomy and Clinics
2014年
3期
208-211
,共4页
赵晓娟%王影%肖晓娟%余深平
趙曉娟%王影%肖曉娟%餘深平
조효연%왕영%초효연%여심평
腹股沟疝%体层摄影术,X线计算机%诊断%鉴别诊断
腹股溝疝%體層攝影術,X線計算機%診斷%鑒彆診斷
복고구산%체층섭영술,X선계산궤%진단%감별진단
Inguinal hernia%Tomography,X-ray computed%Diagnosis%Differential diagnosis
目的 探讨多层螺旋CT(MSCT)诊断及鉴别诊断腹股沟直疝、斜疝的主要依据.方法 回顾性分析2010年10月-2013年6月中山大学附属第一医院诊断并治疗的54例腹股沟疝患者的临床及MSCT资料.按照确诊的疝类型分为直疝组、斜疝组,对比分析2组患者MSCT影像中疝囊颈位置、腹壁下血管移位情况、新月征、是否进入阴囊等参数.结果 结合临床及MSCT表现,确诊直疝及斜疝各34个.直疝疝囊颈均位于腹壁下血管内侧,41.2％(14/34)腹壁下血管外移,61.8％(21/34)伴新月征,23.5％(8/34)的疝进入阴囊;斜疝中64.7％(22/34)的疝囊进入腹股沟管内口,35.3％ (12/34)腹股沟管显示不清,88.2％(30/34)疝腹壁下血管向内后方移位,均无新月征,64.7％ (22/34)的疝进入阴囊.2组各参数之间的差异均有统计学意义(P值均＜0.05).结论 MSCT可显示腹股沟区解剖细节,对腹股沟直疝、斜疝的诊断及鉴别诊断具有重要临床意义.
目的 探討多層螺鏇CT(MSCT)診斷及鑒彆診斷腹股溝直疝、斜疝的主要依據.方法 迴顧性分析2010年10月-2013年6月中山大學附屬第一醫院診斷併治療的54例腹股溝疝患者的臨床及MSCT資料.按照確診的疝類型分為直疝組、斜疝組,對比分析2組患者MSCT影像中疝囊頸位置、腹壁下血管移位情況、新月徵、是否進入陰囊等參數.結果 結閤臨床及MSCT錶現,確診直疝及斜疝各34箇.直疝疝囊頸均位于腹壁下血管內側,41.2％(14/34)腹壁下血管外移,61.8％(21/34)伴新月徵,23.5％(8/34)的疝進入陰囊;斜疝中64.7％(22/34)的疝囊進入腹股溝管內口,35.3％ (12/34)腹股溝管顯示不清,88.2％(30/34)疝腹壁下血管嚮內後方移位,均無新月徵,64.7％ (22/34)的疝進入陰囊.2組各參數之間的差異均有統計學意義(P值均＜0.05).結論 MSCT可顯示腹股溝區解剖細節,對腹股溝直疝、斜疝的診斷及鑒彆診斷具有重要臨床意義.
목적 탐토다층라선CT(MSCT)진단급감별진단복고구직산、사산적주요의거.방법 회고성분석2010년10월-2013년6월중산대학부속제일의원진단병치료적54례복고구산환자적림상급MSCT자료.안조학진적산류형분위직산조、사산조,대비분석2조환자MSCT영상중산낭경위치、복벽하혈관이위정황、신월정、시부진입음낭등삼수.결과 결합림상급MSCT표현,학진직산급사산각34개.직산산낭경균위우복벽하혈관내측,41.2％(14/34)복벽하혈관외이,61.8％(21/34)반신월정,23.5％(8/34)적산진입음낭;사산중64.7％(22/34)적산낭진입복고구관내구,35.3％ (12/34)복고구관현시불청,88.2％(30/34)산복벽하혈관향내후방이위,균무신월정,64.7％ (22/34)적산진입음낭.2조각삼수지간적차이균유통계학의의(P치균＜0.05).결론 MSCT가현시복고구구해부세절,대복고구직산、사산적진단급감별진단구유중요림상의의.
Objective To summarize the primary diagnostic and differential diagnostic criteria of direct and indirect inguinal hernia using multiple-spiral computed tomography (MSCT).Methods Fifyfour inguinal hernia cases diagnosed and treated in the first affiliated hospital of Sun Yat-Sen university from Oct.2010 to Jun.2013 were divided into direct inguinal hernias group and indirect inguinal hernias group,the parameters such as location of hernia necks,inferior epigastric vessels movement,lateral crescent sign,whether hernias entered into scrotum or not were compared between the two groups.Results Thirty-four direct and 34 indirect inguinal hernias were finally diagnosed based on both clinical and MSCT features.In the group of direct inguinal hernia,all hernia necks medial to the inferior epigastric vessels,41.2％ (14/34) inferior epigastric vessels moved outwards,61.8％ (21/34) with lateral crescent sign and 23.5％ (8/34) hernias entered into scrotum.In the group of direct inguinal hernia,64.7％ (22/34) hernias entered into the internal inguinal ring and the rest 35.3％ (12/34) could not show the ring clearly,88.2％ (30/34) inferior epigastric vessels moved to poster medial,no lateral crescent sign and 64.7％ (22/34) hernias entered into scrotum.The difference of each parameter between the two groups were statistically significant (all P values ＜ 0.05).Conclusions MSCT can display precisely the anatomical details of inguinal region,which contribute to the diagnosis and differential diagnosis and is very important for clinical strategies.
