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Local investigation of outcomes based on ultrasound examinations for suspected inguinal hernia performed by sonographers and radiologists

机译:由超声检查师和放射科医生根据超声检查可疑腹股沟疝进行的局部结局调查

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摘要

Inguinal hernia is the most common surgical repair performed in England with more than 73,000 cases in 2007. The majority of inguinal hernias are diagnosed clinically, but ultrasound is fast becoming the imaging modality of choice for diagnosing occult hernia, due to its non-invasive nature and lack of radiation. At the Norfolk and Norwich University Hospitals NHS Foundation Trust, ultrasound of the groin was performed only by radiologists, but recently sonographers have also begun examining patients for inguinal hernia. This study investigates the accuracy of ultrasound diagnosis of hernia and compares the performances of radiologists and sonographers over a nine-month period involving 124 patients. Our results indicate that both professional groups have a high detection rate and that there is no significant difference in accuracy. An incidental finding was that many general practitioner referrals diagnosed with an inguinal hernia did not proceed to surgery. Since many ultrasound departments are experiencing demand versus capacity issues, it may be that further investigation into the value of diagnosis when surgery is unlikely is warranted.
机译:腹股沟疝是英格兰最常见的外科手术,2007年超过73,000例。大多数腹股沟疝已被临床诊断,但由于其非侵入性,超声已迅速成为诊断隐匿性疝的影像学手段。而且缺乏辐射。在诺福克和诺威奇大学医院NHS基金会信托基金中,腹股沟的超声检查仅由放射科医生进行,但最近,超声检查医师也已开始检查腹股沟疝的患者。这项研究调查了超声诊断疝气的准确性,并比较了9个月内涉及124例患者的放射科医师和超声医师的表现。我们的结果表明,两个专业组的检出率都很高,准确度没有显着差异。一个偶然的发现是,许多被诊断患有腹股沟疝的全科医生转诊并未进行手术。由于许多超声科部门都遇到需求与容量问题,因此可能有必要在不可能进行手术的情况下进一步调查诊断的价值。

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  • 来源
    《Ultrasound》 |2013年第1期|12-15|共4页
  • 作者单位

    1Department of Radiology Norfolk Norwich University Hospital NHS Trust Norwich Norfolk NR4 7UY UK 2Department of Radiology Lister Hospital Corey's Mill Lane Stevenage SG1 4AB UK;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Sonography hernia groin detection rate;

    机译:超声疝腹股沟检出率;

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