比较自动超声容积断层扫描和传统超声检查在腹外疝诊断分类中的应用价值

摘要

目的 通过回顾性分析自动超声容积断层扫描和传统超声检查在腹外疝诊断分类中的应用价值.方法 术前对83例疑为腹外疝患者分别进行自动超声容积断层扫描(UVAS)及传统超声检查,通过UVAS的切面(横断面、矢状面、冠状面)以及传统超声的二维图像和彩色多普勒技术,对扫查区域的立体结构、疝环位置、疝囊、疝内容物及回纳途径进行观察,判断腹外疝的类型,并将诊断结果与术后诊断进行比较.结果 在腹外疝的诊断和分类中,与传统超声检查相比,UVAS诊断腹壁切口疝和难复性腹股沟疝的符合率更高.结论 UVAS具有传统超声无法显示的组织冠状面图像,为临床医师提供了立体三维的客观影像依据,对腹壁切口疝和难复性腹股沟疝的诊断比传统超声检查更具优势.%Objective To retrospectively compare the value of ultrasonic volume auto-scan and regular ultra-sonography for diagnostic classification of hernia. Methods 83 suspected cases were submitted to ultrasonic volume auto-scan (UVAS) and regular ultrasonography before tension-free hernioplasty. The diagnosis and classification of hernia was made through observing hernia ring position, hernia sac, hernia contents and three-dimensional structure of the area to be checked. The classification was compared with surgical finding. Results The diagnostic accuracy of in-cisional hernia and irreducible inguinal hernia is higher in UVAS group than that in regular ultrasonography group. Conclusions UVAS has advantage over traditional ultrasound in diagnostic classification of hernia, especially for inci-sional hernia and irreducible inguinal hernia.